How much rates vary
Facilitymedian $37 · 10th to 90th $17 to $123Professionalmedian $10 · 10th to 90th $5 to $17
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 $10.72 Median $21.88 Typical High $87.10 | Facility | None | $10.72 | $21.88 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $22.91 | Professional | None | $10.23 | $11.22 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $10.47 Typical High $16.98 | Professional | None | $5.89 | $10.47 | $16.98 |
BCBS Texas Setting Facility Modifier None Typical Low $25.70 Median $63.10 Typical High $120.23 | Facility | None | $25.70 | $63.10 | $120.23 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $9.33 Typical High $13.49 | Professional | None | $5.01 | $9.33 | $13.49 |
Baylor Scott & White Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $23.99 | Professional | None | $12.59 | $15.14 | $23.99 |
Christus Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $69.18 | Facility | None | $16.98 | $37.15 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $28.18 | Professional | None | $9.55 | $12.30 | $28.18 |
Health Smart Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Health Smart Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Lucent Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $72.44 Typical High $208.93 | Facility | None | $14.13 | $72.44 | $208.93 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $20.42 | Professional | None | $10.23 | $12.88 | $20.42 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | None | $12.59 | $14.13 | $14.13 |
Providence Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $69.18 | Facility | None | $13.49 | $25.12 | $69.18 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $25.12 | Professional | None | $9.55 | $12.30 | $25.12 |
United Setting Facility Modifier None Typical Low $6.17 Median $16.98 Typical High $52.48 | Facility | None | $6.17 | $16.98 | $52.48 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $13.80 | Professional | None | $7.08 | $9.77 | $13.80 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | None | $8.32 | $8.32 | $8.71 |
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 $5.62 Median $12.30 Typical High $45.71 | Facility | 52 · Reduced service | $5.62 | $12.30 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.90 Typical High $18.20 | Facility | 53 · Discontinued | $2.29 | $4.90 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.62 Typical High $10.23 | Professional | 52 · Reduced service | $5.13 | $5.62 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $4.07 | Professional | 53 · Discontinued | $2.04 | $2.24 | $4.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $12.30 Typical High $45.71 | Facility | 52 · Reduced service | $6.46 | $12.30 | $45.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $4.90 Typical High $18.20 | Facility | 53 · Discontinued | $2.57 | $4.90 | $18.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.25 Typical High $8.13 | Professional | 52 · Reduced service | $5.13 | $5.25 | $8.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $3.31 | Professional | 53 · Discontinued | $2.04 | $2.09 | $3.31 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $16.22 Median $16.98 Typical High $20.42 | Professional | 90 · Outside lab | $16.22 | $16.98 | $20.42 |
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· 28th of 51
$17.78
AK $46.77MD $12.88
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.