How much rates vary
Facilitymedian $16 · 10th to 90th $9 to $47Professionalmedian $5 · 10th to 90th $4 to $8
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 $5.62 Median $12.02 Typical High $45.71 | Facility | None | $5.62 | $12.02 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $10.23 | Professional | None | $5.01 | $5.62 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
BCBS Texas Setting Facility Modifier None Typical Low $12.88 Median $31.62 Typical High $56.23 | Facility | None | $12.88 | $31.62 | $56.23 |
BCBS Texas Setting Professional Modifier None Typical Low $4.68 Median $5.01 Typical High $6.46 | Professional | None | $4.68 | $5.01 | $6.46 |
Christus Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $18.20 Typical High $35.48 | Facility | None | $8.51 | $18.20 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $14.13 | Professional | None | $4.79 | $6.03 | $14.13 |
Health Smart Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Health Smart Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Lucent Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Moda Health Setting Facility Modifier None Typical Low $6.46 Median $10.00 Typical High $54.95 | Facility | None | $6.46 | $10.00 | $54.95 |
Moda Health Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $10.23 | Professional | None | $5.01 | $5.62 | $10.23 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $7.08 | Professional | None | $6.31 | $7.08 | $7.08 |
Providence Setting Facility Modifier None Typical Low $6.76 Median $12.59 Typical High $35.48 | Facility | None | $6.76 | $12.59 | $35.48 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $12.59 | Professional | None | $4.79 | $6.03 | $12.59 |
United Setting Facility Modifier None Typical Low $3.02 Median $8.51 Typical High $18.20 | Facility | None | $3.02 | $8.51 | $18.20 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $8.32 | Professional | None | $3.55 | $4.79 | $8.32 |
Wellpoint Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.37 | Professional | None | $4.17 | $4.17 | $4.37 |
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 $2.82 Median $6.03 Typical High $22.91 | Facility | 52 · Reduced service | $2.82 | $6.03 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $2.45 Typical High $9.12 | Facility | 53 · Discontinued | $1.12 | $2.45 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.82 Typical High $5.13 | Professional | 52 · Reduced service | $2.51 | $2.82 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.12 Typical High $2.04 | Professional | 53 · Discontinued | $1.00 | $1.12 | $2.04 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.16 Median $6.03 Typical High $22.91 | Facility | 52 · Reduced service | $3.16 | $6.03 | $22.91 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $2.45 Typical High $9.12 | Facility | 53 · Discontinued | $1.29 | $2.45 | $9.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.63 Typical High $4.07 | Professional | 52 · Reduced service | $2.51 | $2.63 | $4.07 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.05 Typical High $1.62 | Professional | 53 · Discontinued | $1.00 | $1.05 | $1.62 |
Where Texas sits
The same service costs 4.0 times more in Kansas 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· 24th of 51
$8.51
KS $25.12MD $6.31
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.