How much rates vary
Facilitymedian $41 · 10th to 90th $23 to $129Professionalmedian $13 · 10th to 90th $5 to $22
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 $15.49 Median $33.88 Typical High $120.23 | Facility | None | $15.49 | $33.88 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $28.84 | Professional | None | $14.13 | $14.79 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $23.44 | Professional | None | $14.45 | $14.45 | $23.44 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $83.18 Typical High $158.49 | Facility | None | $32.36 | $83.18 | $158.49 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $12.88 Typical High $16.98 | Professional | None | $5.01 | $12.88 | $16.98 |
Christus Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $47.86 Typical High $74.13 | Facility | None | $19.05 | $47.86 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $34.67 | Professional | None | $10.47 | $12.02 | $34.67 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $114.82 | Facility | None | $16.60 | $23.44 | $114.82 |
Moda Health Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $24.55 | Professional | None | $14.13 | $15.49 | $24.55 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | None | $17.78 | $19.95 | $19.95 |
Providence Setting Facility Modifier None Typical Low $16.98 Median $28.84 Typical High $74.13 | Facility | None | $16.98 | $28.84 | $74.13 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $28.84 | Professional | None | $10.23 | $12.02 | $28.84 |
United Setting Facility Modifier None Typical Low $8.51 Median $10.00 Typical High $23.44 | Facility | None | $8.51 | $10.00 | $23.44 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $17.78 | Professional | None | $9.33 | $10.00 | $17.78 |
Wellpoint Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | None | $9.33 | $9.33 | $12.30 |
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 $7.94 Median $16.98 Typical High $64.57 | Facility | 52 · Reduced service | $7.94 | $16.98 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $6.76 Typical High $25.70 | Facility | 53 · Discontinued | $3.16 | $6.76 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.76 Typical High $14.13 | Professional | 52 · Reduced service | $7.08 | $7.76 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $5.62 | Professional | 53 · Discontinued | $2.82 | $3.09 | $5.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.91 Median $16.98 Typical High $64.57 | Facility | 52 · Reduced service | $8.91 | $16.98 | $64.57 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $6.76 Typical High $25.70 | Facility | 53 · Discontinued | $3.55 | $6.76 | $25.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.24 Typical High $11.48 | Professional | 52 · Reduced service | $7.08 | $7.24 | $11.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.95 Typical High $4.57 | Professional | 53 · Discontinued | $2.82 | $2.95 | $4.57 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$22.91
AK $53.70KY $15.49
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.