How much rates vary
Facilitymedian $49 · 10th to 90th $28 to $151Professionalmedian $15 · 10th to 90th $5 to $28
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 $18.62 Median $39.81 Typical High $151.36 | Facility | None | $18.62 | $39.81 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $33.88 | Professional | None | $16.60 | $18.62 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
BCBS Texas Setting Facility Modifier None Typical Low $38.90 Median $97.72 Typical High $186.21 | Facility | None | $38.90 | $97.72 | $186.21 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $15.49 Typical High $19.95 | Professional | None | $5.01 | $15.49 | $19.95 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $60.26 Typical High $87.10 | Facility | None | $18.62 | $60.26 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $47.86 | Professional | None | $12.59 | $20.42 | $47.86 |
Moda Health Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $104.71 | Facility | None | $19.50 | $28.18 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $28.18 | Professional | None | $16.60 | $17.78 | $28.18 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $23.44 | Professional | None | $20.89 | $23.44 | $23.44 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $87.10 | Facility | None | $19.95 | $30.20 | $87.10 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $47.86 | Professional | None | $12.59 | $20.42 | $47.86 |
United Setting Facility Modifier None Typical Low $10.00 Median $11.75 Typical High $28.18 | Facility | None | $10.00 | $11.75 | $28.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $25.12 | Professional | None | $11.75 | $11.75 | $25.12 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | None | $11.22 | $11.22 | $14.45 |
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 $9.33 Median $19.95 Typical High $75.86 | Facility | 52 · Reduced service | $9.33 | $19.95 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $7.94 Typical High $30.20 | Facility | 53 · Discontinued | $3.72 | $7.94 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $9.12 Typical High $16.60 | Professional | 52 · Reduced service | $8.32 | $9.12 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.72 Typical High $6.76 | Professional | 53 · Discontinued | $3.39 | $3.72 | $6.76 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $19.95 Typical High $75.86 | Facility | 52 · Reduced service | $10.47 | $19.95 | $75.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $8.13 Typical High $30.20 | Facility | 53 · Discontinued | $4.27 | $8.13 | $30.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.71 Typical High $13.49 | Professional | 52 · Reduced service | $8.32 | $8.71 | $13.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $5.37 | Professional | 53 · Discontinued | $3.39 | $3.47 | $5.37 |
Where Texas sits
The same service costs 3.8 times more in Alaska 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· 14th of 51
$28.84
AK $63.10NE $16.60
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.