How much rates vary
Facilitymedian $44 · 10th to 90th $22 to $126Professionalmedian $13 · 10th to 90th $5 to $21
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 $14.13 Median $31.62 Typical High $117.49 | Facility | None | $14.13 | $31.62 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $27.54 | Professional | None | $12.88 | $14.45 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $22.91 | Professional | None | $10.23 | $10.23 | $22.91 |
BCBS Texas Setting Facility Modifier None Typical Low $31.62 Median $81.28 Typical High $134.90 | Facility | None | $31.62 | $81.28 | $134.90 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $12.59 Typical High $16.60 | Professional | None | $5.01 | $12.59 | $16.60 |
Baylor Scott & White Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $22.91 | Professional | None | $16.22 | $18.20 | $22.91 |
Christus Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $50.12 Typical High $72.44 | Facility | None | $15.14 | $50.12 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $33.11 | Professional | None | $9.12 | $11.75 | $33.11 |
Moda Health Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $128.82 | Facility | None | $16.98 | $27.54 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $20.89 | Professional | None | $12.30 | $14.13 | $20.89 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $17.38 Typical High $19.50 | Professional | None | $16.22 | $17.38 | $19.50 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $72.44 | Facility | None | $16.22 | $24.55 | $72.44 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $23.99 | Professional | None | $9.12 | $11.75 | $23.99 |
United Setting Facility Modifier None Typical Low $8.32 Median $9.55 Typical High $22.91 | Facility | None | $8.32 | $9.55 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $16.98 | Professional | None | $9.55 | $9.55 | $16.98 |
Wellpoint Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $12.02 | Professional | None | $9.12 | $9.12 | $12.02 |
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 $7.59 Median $16.60 Typical High $61.66 | Facility | 52 · Reduced service | $7.59 | $16.60 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $6.61 Typical High $25.12 | Facility | 53 · Discontinued | $3.02 | $6.61 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.59 Typical High $13.80 | Professional | 52 · Reduced service | $6.92 | $7.59 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.02 Typical High $5.50 | Professional | 53 · Discontinued | $2.75 | $3.02 | $5.50 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.71 Median $16.60 Typical High $61.66 | Facility | 52 · Reduced service | $8.71 | $16.60 | $61.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.61 Typical High $25.12 | Facility | 53 · Discontinued | $3.47 | $6.61 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.08 Typical High $11.22 | Professional | 52 · Reduced service | $6.92 | $7.08 | $11.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $4.47 | Professional | 53 · Discontinued | $2.75 | $2.82 | $4.47 |
Where Texas sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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
$22.39
VT $155KY $15.85
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.