How much rates vary
Facilitymedian $7 · 10th to 90th $3 to $30Professionalmedian $4 · 10th to 90th $3 to $5
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 $3.09 Median $6.46 Typical High $25.70 | Facility | None | $3.09 | $6.46 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $6.03 | Professional | None | $3.02 | $3.31 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.51 Typical High $5.01 | Professional | None | $2.14 | $2.51 | $5.01 |
BCBS Texas Setting Facility Modifier None Typical Low $3.31 Median $12.59 Typical High $30.20 | Facility | None | $3.31 | $12.59 | $30.20 |
BCBS Texas Setting Professional Modifier None Typical Low $3.31 Median $5.01 Typical High $5.50 | Professional | None | $3.31 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $10.23 Typical High $15.85 | Facility | None | $3.63 | $10.23 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $3.72 Typical High $8.32 | Professional | None | $2.14 | $3.72 | $8.32 |
Health Smart Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Health Smart Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $8.51 | Professional | None | $4.37 | $5.89 | $8.51 |
Lucent Health Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $8.51 | Professional | None | $4.37 | $5.89 | $8.51 |
Moda Health Setting Facility Modifier None Typical Low $3.80 Median $20.42 Typical High $56.23 | Facility | None | $3.80 | $20.42 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $6.03 | Professional | None | $3.02 | $3.72 | $6.03 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Providence Setting Facility Modifier None Typical Low $3.55 Median $5.75 Typical High $15.85 | Facility | None | $3.55 | $5.75 | $15.85 |
Providence Setting Professional Modifier None Typical Low $2.14 Median $3.72 Typical High $8.32 | Professional | None | $2.14 | $3.72 | $8.32 |
United Setting Facility Modifier None Typical Low $1.82 Median $5.01 Typical High $8.32 | Facility | None | $1.82 | $5.01 | $8.32 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.02 Typical High $4.57 | Professional | None | $2.29 | $3.02 | $4.57 |
Wellpoint Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.63 | Professional | None | $2.04 | $2.04 | $2.63 |
9 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 $1.70 Median $3.63 Typical High $13.49 | Facility | 52 · Reduced service | $1.70 | $3.63 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.68 | $1.45 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.66 Typical High $2.88 | Professional | 52 · Reduced service | $1.51 | $1.66 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.68 Typical High $1.15 | Professional | 53 · Discontinued | $0.60 | $0.68 | $1.15 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.91 Median $3.63 Typical High $13.49 | Facility | 52 · Reduced service | $1.91 | $3.63 | $13.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.76 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.76 | $1.45 | $5.50 |
Moda Health Setting Facility Modifier 91 · Repeat lab test Typical Low $11.22 Median $35.48 Typical High $48.98 | Facility | 91 · Repeat lab test | $11.22 | $35.48 | $48.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.55 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $1.55 | $2.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.62 Typical High $0.98 | Professional | 53 · Discontinued | $0.60 | $0.62 | $0.98 |
Where Texas sits
The same service costs 3.0 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
$5.01
AK $11.22KY $3.72
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.