How much rates vary
Facilitymedian $48 · 10th to 90th $17 to $102Professionalmedian $10 · 10th to 90th $5 to $17
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 $12.59 Median $26.92 Typical High $95.50 | Facility | None | $12.59 | $26.92 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $20.42 | Professional | None | $11.22 | $12.30 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | None | $11.48 | $11.48 | $11.75 |
BCBS Texas Setting Facility Modifier None Typical Low $24.55 Median $60.26 Typical High $107.15 | Facility | None | $24.55 | $60.26 | $107.15 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.23 Typical High $13.18 | Professional | None | $5.01 | $10.23 | $13.18 |
Christus Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $38.90 Typical High $58.88 | Facility | None | $15.14 | $38.90 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $28.18 | Professional | None | $8.51 | $9.55 | $28.18 |
Health Smart Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Health Smart Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None | $19.95 | $19.95 | $20.42 |
Lucent Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $18.62 Typical High $95.50 | Facility | None | $13.80 | $18.62 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $18.62 | Professional | None | $11.22 | $12.30 | $18.62 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | None | $14.13 | $15.85 | $15.85 |
Providence Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $58.88 | Facility | None | $13.49 | $22.39 | $58.88 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $9.55 Typical High $22.91 | Professional | None | $8.32 | $9.55 | $22.91 |
United Setting Facility Modifier None Typical Low $6.76 Median $7.94 Typical High $18.62 | Facility | None | $6.76 | $7.94 | $18.62 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $15.85 | Professional | None | $7.59 | $7.94 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $9.77 | Professional | None | $7.59 | $7.59 | $9.77 |
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 $6.31 Median $13.49 Typical High $51.29 | Facility | 52 · Reduced service | $6.31 | $13.49 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $5.37 Typical High $20.42 | Facility | 53 · Discontinued | $2.51 | $5.37 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | 52 · Reduced service | $5.62 | $6.17 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.45 Typical High $4.47 | Professional | 53 · Discontinued | $2.24 | $2.45 | $4.47 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.08 Median $13.49 Typical High $51.29 | Facility | 52 · Reduced service | $7.08 | $13.49 | $51.29 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $5.37 Typical High $20.42 | Facility | 53 · Discontinued | $2.82 | $5.37 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.75 Typical High $9.12 | Professional | 52 · Reduced service | $5.62 | $5.75 | $9.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.34 Typical High $3.63 | Professional | 53 · Discontinued | $2.24 | $2.34 | $3.63 |
Where Texas sits
The same service costs 3.6 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· 21st of 51
$18.62
AK $42.66KY $11.75
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.