How much rates vary
Facilitymedian $26 · 10th to 90th $10 to $65Professionalmedian $5 · 10th to 90th $4 to $10
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 $6.03 Median $13.49 Typical High $52.48 | Facility | None | $6.03 | $13.49 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $11.75 | Professional | None | $5.89 | $6.17 | $11.75 |
BCBS Texas Setting Facility Modifier None Typical Low $14.13 Median $35.48 Typical High $66.07 | Facility | None | $14.13 | $35.48 | $66.07 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $6.92 | Professional | None | $5.01 | $5.50 | $6.92 |
Christus Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $36.31 | Facility | None | $9.33 | $20.42 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $14.79 | Professional | None | $5.37 | $8.91 | $14.79 |
Health Smart Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Health Smart Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Lucent Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Moda Health Setting Facility Modifier None Typical Low $7.41 Median $11.75 Typical High $89.13 | Facility | None | $7.41 | $11.75 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $10.72 | Professional | None | $5.89 | $6.17 | $10.72 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $8.13 | Professional | None | $7.41 | $8.13 | $8.13 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $12.88 Typical High $36.31 | Facility | None | $7.41 | $12.88 | $36.31 |
Providence Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $13.18 | Professional | None | $5.37 | $7.94 | $13.18 |
United Setting Facility Modifier None Typical Low $3.55 Median $4.07 Typical High $9.77 | Facility | None | $3.55 | $4.07 | $9.77 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $7.41 | Professional | None | $4.07 | $5.13 | $7.41 |
Wellpoint Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.01 | Professional | None | $4.27 | $4.27 | $5.01 |
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 $3.31 Median $7.08 Typical High $26.30 | Facility | 52 · Reduced service | $3.31 | $7.08 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $2.82 Typical High $10.47 | Facility | 53 · Discontinued | $1.32 | $2.82 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.24 Typical High $5.89 | Professional | 52 · Reduced service | $2.95 | $3.24 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.29 Typical High $2.34 | Professional | 53 · Discontinued | $1.17 | $1.29 | $2.34 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.72 Median $7.08 Typical High $26.30 | Facility | 52 · Reduced service | $3.72 | $7.08 | $26.30 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.48 Median $2.82 Typical High $10.47 | Facility | 53 · Discontinued | $1.48 | $2.82 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.02 Typical High $4.79 | Professional | 52 · Reduced service | $2.95 | $3.02 | $4.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.20 Typical High $1.91 | Professional | 53 · Discontinued | $1.17 | $1.20 | $1.91 |
Where Texas sits
The same service costs 4.1 times more in Kansas 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· 23rd of 51
$10.23
KS $27.54KY $6.76
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.