How much rates vary
Facilitymedian $36 · 10th to 90th $15 to $132Professionalmedian $8 · 10th to 90th $5 to $16
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 $8.91 Median $13.49 Typical High $74.13 | Facility | None | $8.91 | $13.49 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $20.42 | Professional | None | $8.91 | $10.00 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $14.79 | Professional | None | $5.13 | $7.41 | $14.79 |
BCBS Texas Setting Facility Modifier None Typical Low $16.22 Median $48.98 Typical High $97.72 | Facility | None | $16.22 | $48.98 | $97.72 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $11.75 | Professional | None | $5.01 | $8.13 | $11.75 |
Baylor Scott & White Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $107.15 | Facility | None | $69.18 | $69.18 | $107.15 |
Christus Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $31.62 Typical High $60.26 | Facility | None | $14.79 | $31.62 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $26.30 | Professional | None | $8.32 | $11.75 | $26.30 |
Health Smart Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Facility | None | $22.39 | $26.92 | $26.92 |
Health Smart Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $27.54 | Professional | None | $12.30 | $18.62 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $28.18 | Professional | None | $12.30 | $18.62 | $28.18 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $95.50 Typical High $194.98 | Facility | None | $13.49 | $95.50 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $17.78 | Professional | None | $8.91 | $12.59 | $17.78 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $12.30 | Professional | None | $10.96 | $12.30 | $12.30 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $21.88 Typical High $60.26 | Facility | None | $11.75 | $21.88 | $60.26 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $25.12 | Professional | None | $8.32 | $11.48 | $25.12 |
United Setting Facility Modifier None Typical Low $5.25 Median $14.79 Typical High $44.67 | Facility | None | $5.25 | $14.79 | $44.67 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $12.02 | Professional | None | $6.17 | $8.32 | $12.02 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | None | $7.24 | $7.24 | $7.59 |
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 $4.90 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $4.90 | $10.47 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $4.27 Typical High $15.85 | Facility | 53 · Discontinued | $1.95 | $4.27 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.79 Typical High $8.91 | Professional | 52 · Reduced service | $4.37 | $4.79 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.95 Typical High $3.55 | Professional | 53 · Discontinued | $1.78 | $1.95 | $3.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.62 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $5.62 | $10.47 | $39.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.27 Typical High $15.85 | Facility | 53 · Discontinued | $2.24 | $4.27 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.57 Typical High $7.08 | Professional | 52 · Reduced service | $4.37 | $4.57 | $7.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $2.82 | Professional | 53 · Discontinued | $1.78 | $1.82 | $2.82 |
Where Texas sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 33rd of 51
$14.79
VT $87.10MD $10.96
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.