How much rates vary
Facilitymedian $28 · 10th to 90th $11 to $63Professionalmedian $6 · 10th to 90th $5 to $10
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 $7.24 Median $15.49 Typical High $57.54 | Facility | None | $7.24 | $15.49 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $12.88 | Professional | None | $6.46 | $7.08 | $12.88 |
BCBS Texas Setting Facility Modifier None Typical Low $16.22 Median $39.81 Typical High $75.86 | Facility | None | $16.22 | $39.81 | $75.86 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.89 Typical High $6.61 | Professional | None | $5.01 | $5.89 | $6.61 |
Christus Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $23.44 Typical High $42.66 | Facility | None | $10.47 | $23.44 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $17.38 | Professional | None | $5.89 | $7.41 | $17.38 |
Health Smart Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Health Smart Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.85 | Professional | None | $15.49 | $15.49 | $15.85 |
Lucent Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Moda Health Setting Facility Modifier None Typical Low $8.13 Median $11.22 Typical High $25.70 | Facility | None | $8.13 | $11.22 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $12.88 | Professional | None | $6.46 | $7.08 | $12.88 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $8.91 | Professional | None | $8.13 | $8.91 | $8.91 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $42.66 | Facility | None | $8.32 | $15.14 | $42.66 |
Providence Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $15.49 | Professional | None | $5.89 | $7.41 | $15.49 |
United Setting Facility Modifier None Typical Low $3.89 Median $10.72 Typical High $30.20 | Facility | None | $3.89 | $10.72 | $30.20 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.89 Typical High $8.51 | Professional | None | $4.47 | $5.89 | $8.51 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.62 | Professional | None | $5.13 | $5.13 | $5.62 |
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 $3.63 Median $7.76 Typical High $28.84 | Facility | 52 · Reduced service | $3.63 | $7.76 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $3.09 Typical High $11.48 | Facility | 53 · Discontinued | $1.45 | $3.09 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.55 Typical High $6.46 | Professional | 52 · Reduced service | $3.24 | $3.55 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.41 Typical High $2.57 | Professional | 53 · Discontinued | $1.29 | $1.41 | $2.57 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.07 Median $7.76 Typical High $28.84 | Facility | 52 · Reduced service | $4.07 | $7.76 | $28.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $3.09 Typical High $11.48 | Facility | 53 · Discontinued | $1.62 | $3.09 | $11.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.31 Typical High $5.25 | Professional | 52 · Reduced service | $3.24 | $3.31 | $5.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.32 Typical High $2.09 | Professional | 53 · Discontinued | $1.29 | $1.32 | $2.09 |
Where Texas sits
The same service costs 3.9 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
$11.22
KS $30.90NJ $7.94
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.