How much rates vary
Facilitymedian $36 · 10th to 90th $20 to $107Professionalmedian $11 · 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 $13.18 Median $28.18 Typical High $100.00 | Facility | None | $13.18 | $28.18 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $25.12 | Professional | None | $11.75 | $12.30 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $19.95 | Professional | None | $12.02 | $12.59 | $19.95 |
BCBS Texas Setting Facility Modifier None Typical Low $28.18 Median $72.44 Typical High $138.04 | Facility | None | $28.18 | $72.44 | $138.04 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.96 Typical High $11.22 | Professional | None | $5.01 | $10.96 | $11.22 |
Christus Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $74.13 | Facility | None | $18.20 | $42.66 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $30.20 | Professional | None | $10.23 | $12.88 | $30.20 |
Health Smart Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Health Smart Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $64.57 | Facility | None | $14.79 | $21.38 | $64.57 |
Moda Health Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $23.44 | Professional | None | $11.75 | $13.18 | $23.44 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | None | $14.79 | $16.60 | $16.60 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $26.92 Typical High $74.13 | Facility | None | $15.14 | $26.92 | $74.13 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $26.92 | Professional | None | $10.23 | $12.88 | $26.92 |
United Setting Facility Modifier None Typical Low $7.08 Median $8.32 Typical High $19.95 | Facility | None | $7.08 | $8.32 | $19.95 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $14.79 | Professional | None | $8.32 | $10.72 | $14.79 |
Wellpoint Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.23 | Professional | None | $8.91 | $8.91 | $10.23 |
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 $6.61 Median $14.13 Typical High $53.70 | Facility | 52 · Reduced service | $6.61 | $14.13 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $5.75 Typical High $21.38 | Facility | 53 · Discontinued | $2.63 | $5.75 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $6.46 Typical High $11.75 | Professional | 52 · Reduced service | $5.89 | $6.46 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.63 Typical High $4.79 | Professional | 53 · Discontinued | $2.34 | $2.63 | $4.79 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.41 Median $14.13 Typical High $53.70 | Facility | 52 · Reduced service | $7.41 | $14.13 | $53.70 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $5.75 Typical High $21.38 | Facility | 53 · Discontinued | $3.02 | $5.75 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $6.17 Typical High $9.55 | Professional | 52 · Reduced service | $5.89 | $6.17 | $9.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.45 Typical High $3.80 | Professional | 53 · Discontinued | $2.34 | $2.45 | $3.80 |
Where Texas sits
The same service costs 5.5 times more in Kansas than in Georgia. 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· 20th of 51
$20.89
KS $51.29GA $9.33
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.