How much rates vary
Facilitymedian $14 · 10th to 90th $5 to $129Professionalmedian $4 · 10th to 90th $3 to $5
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 $2.88 Median $4.79 Typical High $23.99 | Facility | None | $2.88 | $4.79 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $6.46 | Professional | None | $2.82 | $3.24 | $6.46 |
Ambetter Setting Professional Modifier None Typical Low $1.66 Median $2.34 Typical High $4.79 | Professional | None | $1.66 | $2.34 | $4.79 |
BCBS Texas Setting Facility Modifier None Typical Low $5.62 Median $15.14 Typical High $30.90 | Facility | None | $5.62 | $15.14 | $30.90 |
BCBS Texas Setting Professional Modifier None Typical Low $2.63 Median $4.79 Typical High $5.50 | Professional | None | $2.63 | $4.79 | $5.50 |
Christus Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.23 Typical High $19.50 | Facility | None | $4.79 | $10.23 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $8.51 | Professional | None | $2.75 | $3.80 | $8.51 |
Health Smart Setting Facility Modifier None Typical Low $7.24 Median $8.51 Typical High $8.51 | Facility | None | $7.24 | $8.51 | $8.51 |
Health Smart Setting Professional Modifier None Typical Low $4.17 Median $6.17 Typical High $10.00 | Professional | None | $4.17 | $6.17 | $10.00 |
Lucent Health Setting Professional Modifier None Typical Low $4.17 Median $6.17 Typical High $10.00 | Professional | None | $4.17 | $6.17 | $10.00 |
Moda Health Setting Facility Modifier None Typical Low $4.79 Median $79.43 Typical High $218.78 | Facility | None | $4.79 | $79.43 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $5.75 | Professional | None | $2.82 | $3.72 | $5.75 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $3.98 | Professional | None | $3.55 | $3.98 | $3.98 |
Providence Setting Facility Modifier None Typical Low $3.80 Median $6.92 Typical High $19.05 | Facility | None | $3.80 | $6.92 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $8.13 | Professional | None | $2.75 | $3.80 | $8.13 |
United Setting Facility Modifier None Typical Low $1.38 Median $2.00 Typical High $10.47 | Facility | None | $1.38 | $2.00 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $3.89 | Professional | None | $2.00 | $2.69 | $3.89 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.45 | Professional | None | $2.34 | $2.34 | $2.45 |
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 $1.58 Median $3.39 Typical High $12.88 | Facility | 52 · Reduced service | $1.58 | $3.39 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.35 Typical High $5.13 | Facility | 53 · Discontinued | $0.65 | $1.35 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.58 Typical High $2.82 | Professional | 52 · Reduced service | $1.41 | $1.58 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.63 Typical High $1.12 | Professional | 53 · Discontinued | $0.56 | $0.63 | $1.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.78 Median $3.39 Typical High $12.88 | Facility | 52 · Reduced service | $1.78 | $3.39 | $12.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.72 Median $1.35 Typical High $5.13 | Facility | 53 · Discontinued | $0.72 | $1.35 | $5.13 |
Moda Health Setting Facility Modifier 91 · Repeat lab test Typical Low $85.11 Median $85.11 Typical High $691.83 | Facility | 91 · Repeat lab test | $85.11 | $85.11 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.48 Typical High $2.29 | Professional | 52 · Reduced service | $1.41 | $1.48 | $2.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.59 Typical High $0.91 | Professional | 53 · Discontinued | $0.58 | $0.59 | $0.91 |
Where Texas sits
The same service costs 11.7 times more in Vermont 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· 21st of 51
$5.50
VT $41.69MD $3.55
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.