How much rates vary
Facilitymedian $30 · 10th to 90th $11 to $69Professionalmedian $7 · 10th to 90th $5 to $10
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.94 Median $16.98 Typical High $64.57 | Facility | None | $7.94 | $16.98 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.41 Typical High $14.13 | Professional | None | $7.08 | $7.41 | $14.13 |
BCBS Texas Setting Facility Modifier None Typical Low $16.22 Median $42.66 Typical High $79.43 | Facility | None | $16.22 | $42.66 | $79.43 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $7.24 | Professional | None | $5.01 | $6.46 | $7.24 |
Christus Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $25.70 Typical High $48.98 | Facility | None | $12.02 | $25.70 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $19.50 | Professional | None | $6.76 | $8.51 | $19.50 |
Health Smart Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Health Smart Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Lucent Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Moda Health Setting Facility Modifier None Typical Low $7.76 Median $11.75 Typical High $25.70 | Facility | None | $7.76 | $11.75 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $7.08 Median $7.41 Typical High $11.75 | Professional | None | $7.08 | $7.41 | $11.75 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | None | $8.91 | $10.00 | $10.00 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $17.38 Typical High $48.98 | Facility | None | $8.32 | $17.38 | $48.98 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $17.78 | Professional | None | $6.76 | $8.51 | $17.78 |
United Setting Facility Modifier None Typical Low $4.27 Median $5.01 Typical High $11.75 | Facility | None | $4.27 | $5.01 | $11.75 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.76 Typical High $9.77 | Professional | None | $5.01 | $6.76 | $9.77 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.17 | Professional | None | $5.89 | $5.89 | $6.17 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.98 Median $8.51 Typical High $32.36 | Facility | 52 · Reduced service | $3.98 | $8.51 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $3.39 Typical High $12.88 | Facility | 53 · Discontinued | $1.58 | $3.39 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.89 Typical High $7.08 | Professional | 52 · Reduced service | $3.55 | $3.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.58 Typical High $2.82 | Professional | 53 · Discontinued | $1.41 | $1.58 | $2.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.47 Median $8.51 Typical High $32.36 | Facility | 52 · Reduced service | $4.47 | $8.51 | $32.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.39 Typical High $12.88 | Facility | 53 · Discontinued | $1.82 | $3.39 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.72 Typical High $5.62 | Professional | 52 · Reduced service | $3.55 | $3.72 | $5.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.48 Typical High $2.24 | Professional | 53 · Discontinued | $1.41 | $1.48 | $2.24 |
Where Texas sits
The same service costs 4.1 times more in Kansas than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 26th of 51
$11.75
KS $36.31OK $8.91
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.