How much rates vary
Facilitymedian $17 · 10th to 90th $6 to $135Professionalmedian $5 · 10th to 90th $3 to $7
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 $3.89 Median $5.89 Typical High $33.11 | Facility | None | $3.89 | $5.89 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $8.91 | Professional | None | $3.89 | $4.37 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $6.46 | Professional | None | $2.24 | $3.24 | $6.46 |
BCBS Texas Setting Facility Modifier None Typical Low $7.08 Median $21.38 Typical High $43.65 | Facility | None | $7.08 | $21.38 | $43.65 |
BCBS Texas Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $5.50 | Professional | None | $3.55 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Christus Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $14.13 Typical High $26.92 | Facility | None | $6.46 | $14.13 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $11.48 | Professional | None | $3.72 | $5.25 | $11.48 |
Health Smart Setting Facility Modifier None Typical Low $10.00 Median $12.02 Typical High $12.02 | Facility | None | $10.00 | $12.02 | $12.02 |
Health Smart Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $12.02 | Professional | None | $5.50 | $8.32 | $12.02 |
Lucent Health Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $12.88 | Professional | None | $5.50 | $8.32 | $12.88 |
Moda Health Setting Facility Modifier None Typical Low $6.46 Median $75.86 Typical High $251.19 | Facility | None | $6.46 | $75.86 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $8.71 | Professional | None | $3.89 | $5.50 | $8.71 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $5.37 Typical High $5.37 | Professional | None | $4.90 | $5.37 | $5.37 |
Providence Setting Facility Modifier None Typical Low $5.25 Median $9.55 Typical High $26.92 | Facility | None | $5.25 | $9.55 | $26.92 |
Providence Setting Professional Modifier None Typical Low $3.72 Median $5.13 Typical High $10.96 | Professional | None | $3.72 | $5.13 | $10.96 |
United Setting Facility Modifier None Typical Low $1.95 Median $2.69 Typical High $18.20 | Facility | None | $1.95 | $2.69 | $18.20 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.72 Typical High $5.25 | Professional | None | $2.69 | $3.72 | $5.25 |
Wellpoint Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | None | $3.24 | $3.24 | $3.39 |
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 $2.19 Median $4.68 Typical High $17.38 | Facility | 52 · Reduced service | $2.19 | $4.68 | $17.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.87 Median $1.86 Typical High $7.08 | Facility | 53 · Discontinued | $0.87 | $1.86 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $2.14 Typical High $3.89 | Professional | 52 · Reduced service | $1.95 | $2.14 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.85 Typical High $1.55 | Professional | 53 · Discontinued | $0.78 | $0.85 | $1.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.45 Median $4.68 Typical High $17.38 | Facility | 52 · Reduced service | $2.45 | $4.68 | $17.38 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.98 Median $1.86 Typical High $7.08 | Facility | 53 · Discontinued | $0.98 | $1.86 | $7.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $2.00 Typical High $3.16 | Professional | 52 · Reduced service | $1.95 | $2.00 | $3.16 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.79 Typical High $1.26 | Professional | 53 · Discontinued | $0.78 | $0.79 | $1.26 |
Where Texas sits
The same service costs 13.2 times more in Vermont than in Maryland. 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· 30th of 51
$6.46
VT $63.10MD $4.79
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.