How much rates vary
Facilitymedian $17 · 10th to 90th $10 to $52Professionalmedian $5 · 10th to 90th $4 to $8
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 $6.46 Median $13.80 Typical High $51.29 | Facility | None | $6.46 | $13.80 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $11.48 | Professional | None | $5.75 | $6.03 | $11.48 |
BCBS Texas Setting Facility Modifier None Typical Low $13.18 Median $34.67 Typical High $67.61 | Facility | None | $13.18 | $34.67 | $67.61 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $6.31 | Professional | None | $5.01 | $5.50 | $6.31 |
Christus Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.95 Typical High $33.88 | Facility | None | $8.71 | $19.95 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $14.13 | Professional | None | $4.79 | $5.89 | $14.13 |
Health Smart Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Health Smart Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | None | $12.30 | $12.30 | $12.59 |
Lucent Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Moda Health Setting Facility Modifier None Typical Low $7.24 Median $10.00 Typical High $41.69 | Facility | None | $7.24 | $10.00 | $41.69 |
Moda Health Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $9.55 | Professional | None | $5.75 | $7.08 | $9.55 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $7.94 Typical High $7.94 | Professional | None | $7.08 | $7.94 | $7.94 |
Providence Setting Facility Modifier None Typical Low $7.24 Median $12.30 Typical High $33.11 | Facility | None | $7.24 | $12.30 | $33.11 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $12.59 | Professional | None | $4.79 | $5.89 | $12.59 |
United Setting Facility Modifier None Typical Low $3.47 Median $9.55 Typical High $22.39 | Facility | None | $3.47 | $9.55 | $22.39 |
United Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $6.92 | Professional | None | $3.98 | $4.79 | $6.92 |
Wellpoint Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.90 | Professional | None | $4.07 | $4.07 | $4.90 |
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 $3.24 Median $6.92 Typical High $25.70 | Facility | 52 · Reduced service | $3.24 | $6.92 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $2.75 Typical High $10.23 | Facility | 53 · Discontinued | $1.29 | $2.75 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.16 Typical High $5.75 | Professional | 52 · Reduced service | $2.88 | $3.16 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.20 Typical High $2.29 | Professional | 53 · Discontinued | $1.15 | $1.20 | $2.29 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.63 Median $6.92 Typical High $25.70 | Facility | 52 · Reduced service | $3.63 | $6.92 | $25.70 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $2.75 Typical High $10.23 | Facility | 53 · Discontinued | $1.45 | $2.75 | $10.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.95 Typical High $4.68 | Professional | 52 · Reduced service | $2.88 | $2.95 | $4.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.17 Typical High $1.86 | Professional | 53 · Discontinued | $1.15 | $1.17 | $1.86 |
Where Texas sits
The same service costs 3.3 times more in Kansas than in Nebraska. 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· 23rd of 51
$9.55
KS $21.88NE $6.61
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.