How much rates vary
Facilitymedian $42 · 10th to 90th $22 to $120Professionalmedian $13 · 10th to 90th $5 to $22
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 $31.62 Typical High $117.49 | Facility | None | $14.45 | $31.62 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.13 Typical High $26.30 | Professional | None | $13.18 | $14.13 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $13.49 | Professional | None | $10.47 | $13.49 | $13.49 |
BCBS Texas Setting Facility Modifier None Typical Low $33.11 Median $81.28 Typical High $147.91 | Facility | None | $33.11 | $81.28 | $147.91 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $12.02 Typical High $15.49 | Professional | None | $5.01 | $12.02 | $15.49 |
Christus Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $91.20 | Facility | None | $21.88 | $47.86 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $38.02 | Professional | None | $12.59 | $17.38 | $38.02 |
Health Smart Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Health Smart Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None | $33.11 | $33.11 | $33.88 |
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 $16.60 Median $27.54 Typical High $117.49 | Facility | None | $16.60 | $27.54 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $25.70 | Professional | None | $13.18 | $16.22 | $25.70 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | None | $16.60 | $18.62 | $18.62 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $91.20 | Facility | None | $17.38 | $32.36 | $91.20 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $38.02 | Professional | None | $12.59 | $17.38 | $38.02 |
United Setting Facility Modifier None Typical Low $7.94 Median $9.12 Typical High $21.88 | Facility | None | $7.94 | $9.12 | $21.88 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $17.78 | Professional | None | $9.12 | $12.59 | $17.78 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | None | $10.96 | $10.96 | $11.48 |
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 $7.41 Median $15.85 Typical High $58.88 | Facility | 52 · Reduced service | $7.41 | $15.85 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $6.31 Typical High $23.99 | Facility | 53 · Discontinued | $2.95 | $6.31 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $7.24 Typical High $13.18 | Professional | 52 · Reduced service | $6.61 | $7.24 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.88 Typical High $5.25 | Professional | 53 · Discontinued | $2.63 | $2.88 | $5.25 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.32 Median $15.85 Typical High $58.88 | Facility | 52 · Reduced service | $8.32 | $15.85 | $58.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $6.31 Typical High $23.99 | Facility | 53 · Discontinued | $3.31 | $6.31 | $23.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.76 Typical High $10.72 | Professional | 52 · Reduced service | $6.61 | $6.76 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.69 Typical High $4.27 | Professional | 53 · Discontinued | $2.63 | $2.69 | $4.27 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $19.95 Median $20.89 Typical High $21.88 | Professional | 90 · Outside lab | $19.95 | $20.89 | $21.88 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in South Carolina. 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· 26th of 51
$21.88
AK $48.98SC $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.