How much rates vary
Facilitymedian $41 · 10th to 90th $15 to $166Professionalmedian $9 · 10th to 90th $5 to $17
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 $9.12 Median $11.48 Typical High $77.62 | Facility | None | $9.12 | $11.48 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $20.89 | Professional | None | $9.12 | $10.23 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $15.14 | Professional | None | $5.25 | $7.59 | $15.14 |
BCBS Texas Setting Facility Modifier None Typical Low $16.60 Median $48.98 Typical High $100.00 | Facility | None | $16.60 | $48.98 | $100.00 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.32 Typical High $12.02 | Professional | None | $5.01 | $8.32 | $12.02 |
Baylor Scott & White Setting Facility Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Facility | None | $14.45 | $15.14 | $15.14 |
Christus Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $32.36 Typical High $63.10 | Facility | None | $15.14 | $32.36 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $26.92 | Professional | None | $8.51 | $12.30 | $26.92 |
Health Smart Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $28.18 | Facility | None | $22.91 | $28.18 | $28.18 |
Health Smart Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $36.31 | Professional | None | $12.88 | $19.95 | $36.31 |
Lucent Health Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $36.31 | Professional | None | $12.88 | $19.95 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $15.14 Median $107.15 Typical High $288.40 | Facility | None | $15.14 | $107.15 | $288.40 |
Moda Health Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $18.62 | Professional | None | $9.12 | $12.88 | $18.62 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | None | $11.22 | $12.59 | $12.59 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $22.39 Typical High $63.10 | Facility | None | $12.02 | $22.39 | $63.10 |
Providence Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $25.70 | Professional | None | $8.51 | $11.75 | $25.70 |
United Setting Facility Modifier None Typical Low $5.37 Median $6.31 Typical High $15.14 | Facility | None | $5.37 | $6.31 | $15.14 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $12.30 | Professional | None | $6.31 | $8.71 | $12.30 |
Wellpoint Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.76 | Professional | None | $7.41 | $7.41 | $7.76 |
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 $5.01 Median $10.96 Typical High $40.74 | Facility | 52 · Reduced service | $5.01 | $10.96 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $4.37 Typical High $16.22 | Facility | 53 · Discontinued | $2.04 | $4.37 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $5.01 Typical High $9.12 | Professional | 52 · Reduced service | $4.57 | $5.01 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.00 Typical High $3.63 | Professional | 53 · Discontinued | $1.82 | $2.00 | $3.63 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.75 Median $10.96 Typical High $40.74 | Facility | 52 · Reduced service | $5.75 | $10.96 | $40.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.37 Typical High $16.22 | Facility | 53 · Discontinued | $2.29 | $4.37 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.68 Typical High $7.24 | Professional | 52 · Reduced service | $4.57 | $4.68 | $7.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.86 Typical High $2.95 | Professional | 53 · Discontinued | $1.82 | $1.86 | $2.95 |
Where Texas sits
The same service costs 7.4 times more in Vermont than in Illinois. 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· 33rd of 51
$14.79
VT $85.11IL $11.48
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.