How much rates vary
Facilitymedian $37 · 10th to 90th $18 to $107Professionalmedian $10 · 10th to 90th $5 to $19
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 $11.48 Median $22.91 Typical High $93.33 | Facility | None | $11.48 | $22.91 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $25.12 | Professional | None | $10.96 | $12.02 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $18.20 | Professional | None | $7.76 | $9.12 | $18.20 |
BCBS Texas Setting Facility Modifier None Typical Low $22.39 Median $64.57 Typical High $120.23 | Facility | None | $22.39 | $64.57 | $120.23 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $16.60 | Professional | None | $5.01 | $10.00 | $16.60 |
Baylor Scott & White Setting Facility Modifier None Typical Low $16.98 Median $18.20 Typical High $61.66 | Facility | None | $16.98 | $18.20 | $61.66 |
Christus Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $39.81 Typical High $75.86 | Facility | None | $18.62 | $39.81 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $30.90 | Professional | None | $10.47 | $13.18 | $30.90 |
Health Smart Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Health Smart Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $28.18 | Professional | None | $16.60 | $17.38 | $28.18 |
Lucent Health Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $30.90 | Professional | None | $16.60 | $17.38 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $75.86 Typical High $144.54 | Facility | None | $14.79 | $75.86 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $21.88 | Professional | None | $10.96 | $15.49 | $21.88 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | None | $13.80 | $15.49 | $15.49 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $26.92 Typical High $75.86 | Facility | None | $14.79 | $26.92 | $75.86 |
Providence Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $27.54 | Professional | None | $10.47 | $13.18 | $27.54 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.76 Typical High $18.20 | Facility | None | $6.61 | $7.76 | $18.20 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $15.14 | Professional | None | $7.76 | $10.47 | $15.14 |
Wellpoint Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.55 | Professional | None | $9.12 | $9.12 | $9.55 |
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 $6.17 Median $13.18 Typical High $50.12 | Facility | 52 · Reduced service | $6.17 | $13.18 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $5.25 Typical High $19.95 | Facility | 53 · Discontinued | $2.45 | $5.25 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $6.03 Typical High $10.96 | Professional | 52 · Reduced service | $5.50 | $6.03 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.45 Typical High $4.37 | Professional | 53 · Discontinued | $2.19 | $2.45 | $4.37 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.92 Median $13.18 Typical High $50.12 | Facility | 52 · Reduced service | $6.92 | $13.18 | $50.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $5.25 Typical High $19.95 | Facility | 53 · Discontinued | $2.75 | $5.25 | $19.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.75 Typical High $8.91 | Professional | 52 · Reduced service | $5.50 | $5.75 | $8.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.29 Typical High $3.55 | Professional | 53 · Discontinued | $2.19 | $2.29 | $3.55 |
Where Texas sits
The same service costs 7.9 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· 28th of 51
$18.20
VT $110MD $13.80
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.