How much rates vary
Facilitymedian $19 · 10th to 90th $10 to $58Professionalmedian $5 · 10th to 90th $5 to $9
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 $6.46 Median $12.59 Typical High $52.48 | Facility | None | $6.46 | $12.59 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $11.75 | Professional | None | $5.75 | $6.46 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $6.76 | Professional | None | $4.68 | $5.89 | $6.76 |
BCBS Texas Setting Facility Modifier None Typical Low $14.79 Median $37.15 Typical High $64.57 | Facility | None | $14.79 | $37.15 | $64.57 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | None | $5.01 | $5.50 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $53.70 | Facility | None | $9.12 | $14.13 | $53.70 |
Christus Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.89 Typical High $40.74 | Facility | None | $9.77 | $20.89 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $16.22 | Professional | None | $5.50 | $6.92 | $16.22 |
Health Smart Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Health Smart Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Lucent Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Moda Health Setting Facility Modifier None Typical Low $7.41 Median $14.13 Typical High $83.18 | Facility | None | $7.41 | $14.13 | $83.18 |
Moda Health Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $9.77 | Professional | None | $5.75 | $7.24 | $9.77 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | None | $7.24 | $8.13 | $8.13 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $14.45 Typical High $40.74 | Facility | None | $7.76 | $14.45 | $40.74 |
Providence Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $14.45 | Professional | None | $5.50 | $6.92 | $14.45 |
United Setting Facility Modifier None Typical Low $3.47 Median $9.77 Typical High $23.99 | Facility | None | $3.47 | $9.77 | $23.99 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $7.94 | Professional | None | $4.07 | $5.50 | $7.94 |
Wellpoint Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | None | $4.79 | $4.79 | $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 $3.24 Median $6.92 Typical High $26.30 | Facility | 52 · Reduced service | $3.24 | $6.92 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $2.82 Typical High $10.47 | Facility | 53 · Discontinued | $1.29 | $2.82 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.24 Typical High $5.75 | Professional | 52 · Reduced service | $2.88 | $3.24 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.29 Typical High $2.34 | Professional | 53 · Discontinued | $1.15 | $1.29 | $2.34 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.63 Median $6.92 Typical High $26.30 | Facility | 52 · Reduced service | $3.63 | $6.92 | $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 $2.88 Median $3.02 Typical High $4.68 | Professional | 52 · Reduced service | $2.88 | $3.02 | $4.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.20 Typical High $1.86 | Professional | 53 · Discontinued | $1.15 | $1.20 | $1.86 |
Where Texas sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 20th of 51
$10.96
KS $30.90AL $7.08
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.