How much rates vary
Facilitymedian $56 · 10th to 90th $20 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 $14.79 Median $32.36 Typical High $114.82 | Facility | None | $14.79 | $32.36 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $22.91 | Professional | None | $13.49 | $14.79 | $22.91 |
BCBS Texas Setting Facility Modifier None Typical Low $29.51 Median $79.43 Typical High $147.91 | Facility | None | $29.51 | $79.43 | $147.91 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $12.30 Typical High $15.14 | Professional | None | $5.01 | $12.30 | $15.14 |
Christus Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $46.77 Typical High $79.43 | Facility | None | $20.89 | $46.77 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $33.88 | Professional | None | $11.48 | $13.80 | $33.88 |
Health Smart Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Health Smart Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Lucent Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $109.65 | Facility | None | $14.45 | $22.39 | $109.65 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $22.39 | Professional | None | $13.49 | $14.79 | $22.39 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | None | $16.98 | $18.62 | $18.62 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $28.84 Typical High $79.43 | Facility | None | $15.14 | $28.84 | $79.43 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $28.84 | Professional | None | $11.48 | $13.80 | $28.84 |
United Setting Facility Modifier None Typical Low $8.13 Median $22.39 Typical High $22.39 | Facility | None | $8.13 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $15.85 | Professional | None | $9.33 | $10.96 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.48 | Professional | None | $9.55 | $9.55 | $11.48 |
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 $7.41 Median $16.22 Typical High $60.26 | Facility | 52 · Reduced service | $7.41 | $16.22 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $6.46 Typical High $23.99 | Facility | 53 · Discontinued | $2.95 | $6.46 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.41 Typical High $11.75 | Professional | 52 · Reduced service | $6.76 | $7.41 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.95 Typical High $4.68 | Professional | 53 · Discontinued | $2.69 | $2.95 | $4.68 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.51 Median $16.22 Typical High $60.26 | Facility | 52 · Reduced service | $8.51 | $16.22 | $60.26 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $6.46 Typical High $23.99 | Facility | 53 · Discontinued | $3.39 | $6.46 | $23.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.92 Typical High $10.47 | Professional | 52 · Reduced service | $6.76 | $6.92 | $10.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $4.17 | Professional | 53 · Discontinued | $2.69 | $2.75 | $4.17 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in New York. 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· 21st of 51
$22.39
AK $50.12NY $15.49
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.