How much rates vary
Facilitymedian $35 · 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 $11.75 Median $25.70 Typical High $89.13 | Facility | None | $11.75 | $25.70 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $22.39 | Professional | None | $10.47 | $11.22 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $21.38 | Professional | None | $8.51 | $10.72 | $21.38 |
BCBS Texas Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $117.49 | Facility | None | $26.92 | $66.07 | $117.49 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $9.77 Typical High $13.18 | Professional | None | $5.01 | $9.77 | $13.18 |
Baylor Scott & White Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $24.55 | Professional | None | $13.18 | $15.85 | $24.55 |
Christus Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $38.02 Typical High $70.79 | Facility | None | $17.38 | $38.02 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $28.84 | Professional | None | $9.77 | $12.59 | $28.84 |
Health Smart Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Health Smart Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | None | $26.30 | $26.30 | $26.92 |
Lucent Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $33.11 Typical High $123.03 | Facility | None | $14.13 | $33.11 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $17.78 | Professional | None | $10.47 | $13.49 | $17.78 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $14.79 | Professional | None | $13.18 | $14.79 | $14.79 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $70.79 | Facility | None | $13.80 | $25.70 | $70.79 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $26.30 | Professional | None | $9.77 | $12.59 | $26.30 |
United Setting Facility Modifier None Typical Low $6.31 Median $7.41 Typical High $17.78 | Facility | None | $6.31 | $7.41 | $17.78 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $14.13 | Professional | None | $7.41 | $10.00 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $9.12 | Professional | None | $8.51 | $8.51 | $9.12 |
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 $5.89 Median $12.59 Typical High $47.86 | Facility | 52 · Reduced service | $5.89 | $12.59 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $5.13 Typical High $19.05 | Facility | 53 · Discontinued | $2.34 | $5.13 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.89 Typical High $10.47 | Professional | 52 · Reduced service | $5.25 | $5.89 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.34 Typical High $4.27 | Professional | 53 · Discontinued | $2.14 | $2.34 | $4.27 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.61 Median $12.59 Typical High $47.86 | Facility | 52 · Reduced service | $6.61 | $12.59 | $47.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $5.13 Typical High $19.05 | Facility | 53 · Discontinued | $2.69 | $5.13 | $19.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.50 Typical High $8.51 | Professional | 52 · Reduced service | $5.25 | $5.50 | $8.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.19 Typical High $3.39 | Professional | 53 · Discontinued | $2.14 | $2.19 | $3.39 |
Where Texas sits
The same service costs 3.1 times more in Kansas 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· 28th of 51
$17.38
KS $40.74MD $13.18
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.