How much rates vary
Facilitymedian $25 · 10th to 90th $13 to $78Professionalmedian $8 · 10th to 90th $5 to $13
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 $17.78 Typical High $69.18 | Facility | None | $8.51 | $17.78 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $16.22 | Professional | None | $8.13 | $8.51 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $7.08 | Professional | None | $6.03 | $7.08 | $7.08 |
BCBS Texas Setting Facility Modifier None Typical Low $16.98 Median $47.86 Typical High $91.20 | Facility | None | $16.98 | $47.86 | $91.20 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $13.49 | Professional | None | $5.01 | $7.41 | $13.49 |
Baylor Scott & White Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $19.05 | Professional | None | $10.23 | $12.30 | $19.05 |
Christus Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $29.51 Typical High $56.23 | Facility | None | $13.49 | $29.51 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $22.39 | Professional | None | $7.76 | $9.77 | $22.39 |
Health Smart Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Health Smart Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $20.89 | Professional | None | $12.30 | $12.88 | $20.89 |
Lucent Health Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $22.39 | Professional | None | $12.30 | $12.88 | $22.39 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $20.89 Typical High $147.91 | Facility | None | $10.23 | $20.89 | $147.91 |
Moda Health Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $13.49 | Professional | None | $8.13 | $9.12 | $13.49 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | None | $10.23 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $56.23 | Facility | None | $10.96 | $19.95 | $56.23 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $20.42 | Professional | None | $7.76 | $9.77 | $20.42 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.75 Typical High $13.49 | Facility | None | $4.90 | $5.75 | $13.49 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $11.22 | Professional | None | $5.75 | $7.76 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | None | $6.76 | $6.76 | $7.08 |
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 $4.57 Median $9.77 Typical High $37.15 | Facility | 52 · Reduced service | $4.57 | $9.77 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.89 Typical High $14.79 | Facility | 53 · Discontinued | $1.82 | $3.89 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.47 Typical High $8.13 | Professional | 52 · Reduced service | $4.07 | $4.47 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.82 Typical High $3.24 | Professional | 53 · Discontinued | $1.62 | $1.82 | $3.24 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.13 Median $9.77 Typical High $37.15 | Facility | 52 · Reduced service | $5.13 | $9.77 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $3.89 Typical High $14.79 | Facility | 53 · Discontinued | $2.04 | $3.89 | $14.79 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $60.26 Median $123.03 Typical High $123.03 | Facility | 59 · Distinct service | $60.26 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.27 Typical High $6.61 | Professional | 52 · Reduced service | $4.07 | $4.27 | $6.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.70 Typical High $2.63 | Professional | 53 · Discontinued | $1.62 | $1.70 | $2.63 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Nebraska. 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· 23rd of 51
$14.13
AK $37.15NE $8.13
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.