How much rates vary
Facilitymedian $34 · 10th to 90th $13 to $76Professionalmedian $7 · 10th to 90th $5 to $12
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 $8.51 Median $18.62 Typical High $69.18 | Facility | None | $8.51 | $18.62 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $15.49 | Professional | None | $7.76 | $8.13 | $15.49 |
BCBS Texas Setting Facility Modifier None Typical Low $19.50 Median $47.86 Typical High $85.11 | Facility | None | $19.50 | $47.86 | $85.11 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $7.76 | Professional | None | $5.01 | $7.08 | $7.76 |
Christus Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $27.54 Typical High $53.70 | Facility | None | $12.88 | $27.54 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $21.38 | Professional | None | $7.24 | $9.12 | $21.38 |
Health Smart Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Health Smart Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Lucent Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Moda Health Setting Facility Modifier None Typical Low $9.77 Median $13.49 Typical High $32.36 | Facility | None | $9.77 | $13.49 | $32.36 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $15.49 | Professional | None | $7.76 | $8.13 | $15.49 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | None | $9.55 | $10.72 | $10.72 |
Providence Setting Facility Modifier None Typical Low $10.23 Median $19.05 Typical High $53.70 | Facility | None | $10.23 | $19.05 | $53.70 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $19.05 | Professional | None | $7.24 | $9.12 | $19.05 |
United Setting Facility Modifier None Typical Low $4.57 Median $12.88 Typical High $37.15 | Facility | None | $4.57 | $12.88 | $37.15 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $11.48 | Professional | None | $5.37 | $7.41 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.61 | Professional | None | $6.31 | $6.31 | $6.61 |
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 $4.27 Median $9.12 Typical High $34.67 | Facility | 52 · Reduced service | $4.27 | $9.12 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $3.72 Typical High $13.80 | Facility | 53 · Discontinued | $1.74 | $3.72 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $4.27 Typical High $7.76 | Professional | 52 · Reduced service | $3.80 | $4.27 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.70 Typical High $3.09 | Professional | 53 · Discontinued | $1.55 | $1.70 | $3.09 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 90 · Outside lab | $6.17 | $6.17 | $6.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.79 Median $9.12 Typical High $34.67 | Facility | 52 · Reduced service | $4.79 | $9.12 | $34.67 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $3.72 Typical High $13.80 | Facility | 53 · Discontinued | $1.95 | $3.72 | $13.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.98 Typical High $6.17 | Professional | 52 · Reduced service | $3.80 | $3.98 | $6.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.58 Typical High $2.45 | Professional | 53 · Discontinued | $1.55 | $1.58 | $2.45 |
Where Texas sits
The same service costs 3.1 times more in Kansas 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· 24th of 51
$13.49
KS $29.51MD $9.55
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.