How much rates vary
Facilitymedian $10 · 10th to 90th $5 to $30Professionalmedian $3 · 10th to 90th $3 to $5
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 $3.39 Median $7.41 Typical High $27.54 | Facility | None | $3.39 | $7.41 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.39 Typical High $6.92 | Professional | None | $3.09 | $3.39 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $1.78 Median $3.16 Typical High $5.13 | Professional | None | $1.78 | $3.16 | $5.13 |
BCBS Texas Setting Facility Modifier None Typical Low $6.92 Median $18.20 Typical High $34.67 | Facility | None | $6.92 | $18.20 | $34.67 |
BCBS Texas Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $5.50 | Professional | None | $2.82 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $10.96 Typical High $21.38 | Facility | None | $5.13 | $10.96 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $8.51 | Professional | None | $2.95 | $3.63 | $8.51 |
Health Smart Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Health Smart Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Lucent Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Moda Health Setting Facility Modifier None Typical Low $3.89 Median $6.46 Typical High $58.88 | Facility | None | $3.89 | $6.46 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $3.09 Median $4.07 Typical High $5.13 | Professional | None | $3.09 | $4.07 | $5.13 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $7.59 Typical High $21.38 | Facility | None | $4.07 | $7.59 | $21.38 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $7.59 | Professional | None | $2.95 | $3.63 | $7.59 |
United Setting Facility Modifier None Typical Low $1.82 Median $2.14 Typical High $5.13 | Facility | None | $1.82 | $2.14 | $5.13 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.88 Typical High $4.17 | Professional | None | $2.14 | $2.88 | $4.17 |
Wellpoint Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.63 | Professional | None | $2.51 | $2.51 | $2.63 |
9 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 $1.70 Median $3.63 Typical High $13.80 | Facility | 52 · Reduced service | $1.70 | $3.63 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.48 Typical High $5.50 | Facility | 53 · Discontinued | $0.68 | $1.48 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.70 Typical High $3.09 | Professional | 52 · Reduced service | $1.51 | $1.70 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.68 Typical High $1.23 | Professional | 53 · Discontinued | $0.62 | $0.68 | $1.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.95 Median $3.63 Typical High $13.80 | Facility | 52 · Reduced service | $1.95 | $3.63 | $13.80 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.48 Typical High $5.50 | Facility | 53 · Discontinued | $0.78 | $1.48 | $5.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.58 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $1.58 | $2.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.63 Typical High $1.00 | Professional | 53 · Discontinued | $0.62 | $0.63 | $1.00 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $3.31 Median $4.90 Typical High $5.62 | Professional | 90 · Outside lab | $3.31 | $4.90 | $5.62 |
Where Texas sits
The same service costs 7.2 times more in Alaska 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· 28th of 51
$5.01
AK $11.48KY $1.58
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.