How much rates vary
Facilitymedian $28 · 10th to 90th $16 to $89Professionalmedian $9 · 10th to 90th $5 to $16
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 $10.96 Median $23.44 Typical High $83.18 | Facility | None | $10.96 | $23.44 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $19.50 | Professional | None | $9.77 | $10.72 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $16.22 | Professional | None | $7.76 | $10.00 | $16.22 |
BCBS Texas Setting Facility Modifier None Typical Low $18.20 Median $53.70 Typical High $107.15 | Facility | None | $18.20 | $53.70 | $107.15 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $16.22 | Professional | None | $5.01 | $8.91 | $16.22 |
Christus Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $35.48 Typical High $67.61 | Facility | None | $16.22 | $35.48 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $26.92 | Professional | None | $9.12 | $11.75 | $26.92 |
Health Smart Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Health Smart Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | None | $24.55 | $24.55 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Moda Health Setting Facility Modifier None Typical Low $12.30 Median $19.50 Typical High $87.10 | Facility | None | $12.30 | $19.50 | $87.10 |
Moda Health Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $16.22 | Professional | None | $9.77 | $12.30 | $16.22 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | None | $12.30 | $13.80 | $13.80 |
Providence Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $67.61 | Facility | None | $12.88 | $23.99 | $67.61 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $24.55 | Professional | None | $9.12 | $11.75 | $24.55 |
United Setting Facility Modifier None Typical Low $5.89 Median $16.22 Typical High $47.86 | Facility | None | $5.89 | $16.22 | $47.86 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.33 Typical High $15.85 | Professional | None | $6.76 | $9.33 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | None | $7.94 | $7.94 | $8.51 |
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 $5.50 Median $11.75 Typical High $43.65 | Facility | 52 · Reduced service | $5.50 | $11.75 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.68 Typical High $17.78 | Facility | 53 · Discontinued | $2.19 | $4.68 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.37 Typical High $9.77 | Professional | 52 · Reduced service | $4.90 | $5.37 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $3.89 | Professional | 53 · Discontinued | $1.95 | $2.14 | $3.89 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.17 Median $11.75 Typical High $43.65 | Facility | 52 · Reduced service | $6.17 | $11.75 | $43.65 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $4.68 Typical High $17.78 | Facility | 53 · Discontinued | $2.45 | $4.68 | $17.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.01 Typical High $7.94 | Professional | 52 · Reduced service | $4.90 | $5.01 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.04 Typical High $3.16 | Professional | 53 · Discontinued | $1.95 | $2.04 | $3.16 |
Where Texas sits
The same service costs 3.6 times more in Alaska 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· 31st of 51
$15.85
AK $44.67MD $12.30
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.