How much rates vary
Facilitymedian $56 · 10th to 90th $21 to $129Professionalmedian $12 · 10th to 90th $5 to $19
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 $14.45 Median $30.90 Typical High $117.49 | Facility | None | $14.45 | $30.90 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $25.70 | Professional | None | $12.88 | $14.13 | $25.70 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $79.43 Typical High $151.36 | Facility | None | $32.36 | $79.43 | $151.36 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $11.75 Typical High $13.49 | Professional | None | $5.01 | $11.75 | $13.49 |
Christus Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $46.77 Typical High $89.13 | Facility | None | $21.38 | $46.77 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $35.48 | Professional | None | $12.02 | $15.49 | $35.48 |
Health Smart Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Health Smart Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Lucent Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $22.39 Typical High $48.98 | Facility | None | $16.22 | $22.39 | $48.98 |
Moda Health Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $25.70 | Professional | None | $12.88 | $14.13 | $25.70 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | None | $16.22 | $18.20 | $18.20 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $89.13 | Facility | None | $17.38 | $31.62 | $89.13 |
Providence Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $32.36 | Professional | None | $12.02 | $15.49 | $32.36 |
United Setting Facility Modifier None Typical Low $7.76 Median $9.12 Typical High $21.38 | Facility | None | $7.76 | $9.12 | $21.38 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $17.38 | Professional | None | $9.12 | $12.30 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $11.22 | Professional | None | $10.72 | $10.72 | $11.22 |
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 $7.24 Median $15.49 Typical High $57.54 | Facility | 52 · Reduced service | $7.24 | $15.49 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $6.17 Typical High $23.44 | Facility | 53 · Discontinued | $2.88 | $6.17 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.08 Typical High $12.88 | Professional | 52 · Reduced service | $6.46 | $7.08 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.82 Typical High $5.13 | Professional | 53 · Discontinued | $2.57 | $2.82 | $5.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.13 Median $15.49 Typical High $57.54 | Facility | 52 · Reduced service | $8.13 | $15.49 | $57.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $6.17 Typical High $23.44 | Facility | 53 · Discontinued | $3.24 | $6.17 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.61 Typical High $10.47 | Professional | 52 · Reduced service | $6.46 | $6.61 | $10.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.63 Typical High $4.17 | Professional | 53 · Discontinued | $2.57 | $2.63 | $4.17 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in West Virginia. 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
$21.38
AK $47.86WV $13.49
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.