How much rates vary
Facilitymedian $63 · 10th to 90th $32 to $178Professionalmedian $19 · 10th to 90th $5 to $32
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 $21.38 Median $46.77 Typical High $165.96 | Facility | None | $21.38 | $46.77 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $38.90 | Professional | None | $18.20 | $21.38 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $32.36 | Professional | None | $11.22 | $19.95 | $32.36 |
BCBS Texas Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $229.09 | Facility | None | $48.98 | $120.23 | $229.09 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $17.78 Typical High $23.99 | Professional | None | $5.01 | $17.78 | $23.99 |
Christus Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $131.83 | Facility | None | $32.36 | $70.79 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $53.70 | Professional | None | $18.20 | $23.44 | $53.70 |
Health Smart Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Health Smart Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Lucent Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $44.67 Typical High $173.78 | Facility | None | $24.55 | $44.67 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $32.36 | Professional | None | $19.50 | $24.55 | $32.36 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | None | $23.99 | $26.92 | $26.92 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $131.83 | Facility | None | $25.70 | $47.86 | $131.83 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $46.77 | Professional | None | $18.20 | $23.44 | $46.77 |
United Setting Facility Modifier None Typical Low $11.75 Median $32.36 Typical High $97.72 | Facility | None | $11.75 | $32.36 | $97.72 |
United Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $33.88 | Professional | None | $13.49 | $18.62 | $33.88 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | None | $15.85 | $15.85 | $16.60 |
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 $10.72 Median $23.44 Typical High $87.10 | Facility | 52 · Reduced service | $10.72 | $23.44 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $9.33 Typical High $34.67 | Facility | 53 · Discontinued | $4.37 | $9.33 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.72 Typical High $19.50 | Professional | 52 · Reduced service | $9.77 | $10.72 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $7.76 | Professional | 53 · Discontinued | $3.89 | $4.27 | $7.76 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $23.44 Typical High $87.10 | Facility | 52 · Reduced service | $12.30 | $23.44 | $87.10 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $9.33 Typical High $34.67 | Facility | 53 · Discontinued | $4.90 | $9.33 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.00 Typical High $15.85 | Professional | 52 · Reduced service | $9.77 | $10.00 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $6.31 | Professional | 53 · Discontinued | $3.89 | $3.98 | $6.31 |
Where Texas sits
The same service costs 4.1 times more in Kansas than in Alabama. 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· 24th of 51
$33.88
KS $75.86AL $18.62
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.