How much rates vary
Facilitymedian $20 · 10th to 90th $8 to $46Professionalmedian $5 · 10th to 90th $4 to $7
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 $5.13 Median $10.96 Typical High $41.69 | Facility | None | $5.13 | $10.96 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.01 Typical High $9.12 | Professional | None | $4.57 | $5.01 | $9.12 |
BCBS Texas Setting Facility Modifier None Typical Low $11.48 Median $28.18 Typical High $51.29 | Facility | None | $11.48 | $28.18 | $51.29 |
BCBS Texas Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $5.62 | Professional | None | $4.17 | $5.01 | $5.62 |
Christus Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $16.60 Typical High $30.20 | Facility | None | $7.41 | $16.60 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $12.59 | Professional | None | $4.27 | $5.37 | $12.59 |
Health Smart Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Health Smart Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Lucent Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Moda Health Setting Facility Modifier None Typical Low $5.75 Median $7.94 Typical High $18.62 | Facility | None | $5.75 | $7.94 | $18.62 |
Moda Health Setting Professional Modifier None Typical Low $4.57 Median $5.01 Typical High $9.12 | Professional | None | $4.57 | $5.01 | $9.12 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $6.46 | Professional | None | $5.75 | $6.46 | $6.46 |
Providence Setting Facility Modifier None Typical Low $6.03 Median $10.96 Typical High $30.20 | Facility | None | $6.03 | $10.96 | $30.20 |
Providence Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $11.22 | Professional | None | $4.27 | $5.37 | $11.22 |
United Setting Facility Modifier None Typical Low $2.75 Median $7.59 Typical High $15.14 | Facility | None | $2.75 | $7.59 | $15.14 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $6.17 | Professional | None | $3.24 | $4.27 | $6.17 |
Wellpoint Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.98 | Professional | None | $3.63 | $3.63 | $3.98 |
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 $2.57 Median $5.50 Typical High $20.89 | Facility | 52 · Reduced service | $2.57 | $5.50 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.02 Median $2.19 Typical High $8.32 | Facility | 53 · Discontinued | $1.02 | $2.19 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.51 Typical High $4.57 | Professional | 52 · Reduced service | $2.29 | $2.51 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $1.00 Typical High $1.82 | Professional | 53 · Discontinued | $0.91 | $1.00 | $1.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.88 Median $5.50 Typical High $20.89 | Facility | 52 · Reduced service | $2.88 | $5.50 | $20.89 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.15 Median $2.19 Typical High $8.32 | Facility | 53 · Discontinued | $1.15 | $2.19 | $8.32 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.34 Typical High $3.72 | Professional | 52 · Reduced service | $2.29 | $2.34 | $3.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.95 Typical High $1.48 | Professional | 53 · Discontinued | $0.91 | $0.95 | $1.48 |
Where Texas sits
The same service costs 3.8 times more in Kansas than in New Jersey. 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
$7.94
KS $21.88NJ $5.75
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.