How much rates vary
Facilitymedian $8 · 10th to 90th $4 to $23Professionalmedian $3 · 10th to 90th $2 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 $2.45 Median $5.13 Typical High $19.95 | Facility | None | $2.45 | $5.13 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.57 Typical High $5.37 | Professional | None | $2.34 | $2.57 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $1.66 Median $1.95 Typical High $2.40 | Professional | None | $1.66 | $1.95 | $2.40 |
BCBS Texas Setting Facility Modifier None Typical Low $6.03 Median $14.45 Typical High $26.92 | Facility | None | $6.03 | $14.45 | $26.92 |
BCBS Texas Setting Professional Modifier None Typical Low $2.14 Median $3.89 Typical High $5.50 | Professional | None | $2.14 | $3.89 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.51 Typical High $16.22 | Facility | None | $3.98 | $8.51 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.98 Typical High $6.61 | Professional | None | $2.34 | $3.98 | $6.61 |
Health Smart Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Health Smart Setting Professional Modifier None Typical Low $3.47 Median $3.80 Typical High $6.03 | Professional | None | $3.47 | $3.80 | $6.03 |
Lucent Health Setting Professional Modifier None Typical Low $3.47 Median $3.80 Typical High $6.46 | Professional | None | $3.47 | $3.80 | $6.46 |
Moda Health Setting Facility Modifier None Typical Low $2.95 Median $7.08 Typical High $34.67 | Facility | None | $2.95 | $7.08 | $34.67 |
Moda Health Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $4.68 | Professional | None | $2.34 | $3.39 | $4.68 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $3.31 | Professional | None | $2.95 | $3.31 | $3.31 |
Providence Setting Facility Modifier None Typical Low $3.16 Median $5.75 Typical High $16.22 | Facility | None | $3.16 | $5.75 | $16.22 |
Providence Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $5.89 | Professional | None | $2.34 | $3.55 | $5.89 |
United Setting Facility Modifier None Typical Low $1.41 Median $3.89 Typical High $10.47 | Facility | None | $1.41 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $3.89 | Professional | None | $2.09 | $2.88 | $3.89 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
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 $1.32 Median $2.82 Typical High $10.72 | Facility | 52 · Reduced service | $1.32 | $2.82 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.52 Median $1.12 Typical High $4.27 | Facility | 53 · Discontinued | $0.52 | $1.12 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.29 Typical High $2.34 | Professional | 52 · Reduced service | $1.17 | $1.29 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.52 Typical High $0.93 | Professional | 53 · Discontinued | $0.47 | $0.52 | $0.93 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.48 Median $2.82 Typical High $10.72 | Facility | 52 · Reduced service | $1.48 | $2.82 | $10.72 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.59 Median $1.12 Typical High $4.27 | Facility | 53 · Discontinued | $0.59 | $1.12 | $4.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.23 Typical High $1.91 | Professional | 52 · Reduced service | $1.17 | $1.23 | $1.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.49 Typical High $0.76 | Professional | 53 · Discontinued | $0.47 | $0.49 | $0.76 |
Where Texas sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 13th of 51
$5.50
VT $22.39NJ $2.75
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.