How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $20Professionalmedian $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 $2.69 Median $5.75 Typical High $21.88 | Facility | None | $2.69 | $5.75 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $4.79 | Professional | None | $2.40 | $2.63 | $4.79 |
BCBS Texas Setting Facility Modifier None Typical Low $5.01 Median $14.13 Typical High $27.54 | Facility | None | $5.01 | $14.13 | $27.54 |
BCBS Texas Setting Professional Modifier None Typical Low $2.19 Median $5.01 Typical High $5.50 | Professional | None | $2.19 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $8.13 Typical High $12.59 | Facility | None | $2.75 | $8.13 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $2.82 Typical High $5.62 | Professional | None | $1.58 | $2.82 | $5.62 |
Health Smart Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Health Smart Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Moda Health Setting Facility Modifier None Typical Low $2.88 Median $3.98 Typical High $7.94 | Facility | None | $2.88 | $3.98 | $7.94 |
Moda Health Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $4.27 | Professional | None | $2.40 | $2.63 | $4.27 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.39 | Professional | None | $3.02 | $3.39 | $3.39 |
Providence Setting Facility Modifier None Typical Low $2.82 Median $4.37 Typical High $12.59 | Facility | None | $2.82 | $4.37 | $12.59 |
Providence Setting Professional Modifier None Typical Low $1.55 Median $2.82 Typical High $4.90 | Professional | None | $1.55 | $2.82 | $4.90 |
United Setting Facility Modifier None Typical Low $1.45 Median $1.70 Typical High $3.98 | Facility | None | $1.45 | $1.70 | $3.98 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.40 Typical High $3.39 | Professional | None | $1.95 | $2.40 | $3.39 |
Wellpoint Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
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 $1.35 Median $2.88 Typical High $10.96 | Facility | 52 · Reduced service | $1.35 | $2.88 | $10.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.54 Median $1.15 Typical High $4.37 | Facility | 53 · Discontinued | $0.54 | $1.15 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.32 Typical High $2.14 | Professional | 52 · Reduced service | $1.20 | $1.32 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.52 Typical High $0.85 | Professional | 53 · Discontinued | $0.48 | $0.52 | $0.85 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.51 Median $2.88 Typical High $10.96 | Facility | 52 · Reduced service | $1.51 | $2.88 | $10.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.62 Median $1.15 Typical High $4.37 | Facility | 53 · Discontinued | $0.62 | $1.15 | $4.37 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.26 Typical High $1.91 | Professional | 52 · Reduced service | $1.20 | $1.26 | $1.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.50 Typical High $0.76 | Professional | 53 · Discontinued | $0.48 | $0.50 | $0.76 |
Where Texas sits
The same service costs 3.3 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· 37th of 51
$3.24
AK $9.12KY $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.