How much rates vary
Facilitymedian $10 · 10th to 90th $5 to $31Professionalmedian $3 · 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 $3.80 Median $8.13 Typical High $30.20 | Facility | None | $3.80 | $8.13 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $6.76 | Professional | None | $3.39 | $3.72 | $6.76 |
BCBS Texas Setting Facility Modifier None Typical Low $8.32 Median $20.42 Typical High $38.90 | Facility | None | $8.32 | $20.42 | $38.90 |
BCBS Texas Setting Professional Modifier None Typical Low $3.09 Median $5.01 Typical High $5.50 | Professional | None | $3.09 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $12.30 Typical High $21.38 | Facility | None | $5.50 | $12.30 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.80 Typical High $8.71 | Professional | None | $2.95 | $3.80 | $8.71 |
Health Smart Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Health Smart Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Lucent Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Moda Health Setting Facility Modifier None Typical Low $4.27 Median $6.03 Typical High $26.30 | Facility | None | $4.27 | $6.03 | $26.30 |
Moda Health Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $6.46 | Professional | None | $3.39 | $3.72 | $6.46 |
Molina Setting Professional Modifier None Typical Low $4.17 Median $4.68 Typical High $4.68 | Professional | None | $4.17 | $4.68 | $4.68 |
Providence Setting Facility Modifier None Typical Low $4.27 Median $7.59 Typical High $21.38 | Facility | None | $4.27 | $7.59 | $21.38 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $3.80 Typical High $7.76 | Professional | None | $2.95 | $3.80 | $7.76 |
United Setting Facility Modifier None Typical Low $2.04 Median $5.62 Typical High $10.47 | Facility | None | $2.04 | $5.62 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $4.57 | Professional | None | $2.34 | $3.02 | $4.57 |
Wellpoint Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.88 | Professional | None | $2.57 | $2.57 | $2.88 |
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 $1.86 Median $4.07 Typical High $15.14 | Facility | 52 · Reduced service | $1.86 | $4.07 | $15.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.76 Median $1.62 Typical High $6.03 | Facility | 53 · Discontinued | $0.76 | $1.62 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.86 Typical High $3.39 | Professional | 52 · Reduced service | $1.70 | $1.86 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.74 Typical High $1.35 | Professional | 53 · Discontinued | $0.68 | $0.74 | $1.35 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.14 Median $4.07 Typical High $15.14 | Facility | 52 · Reduced service | $2.14 | $4.07 | $15.14 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.85 Median $1.62 Typical High $6.03 | Facility | 53 · Discontinued | $0.85 | $1.62 | $6.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.74 Typical High $2.69 | Professional | 52 · Reduced service | $1.70 | $1.74 | $2.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.71 Typical High $1.10 | Professional | 53 · Discontinued | $0.68 | $0.71 | $1.10 |
Where Texas sits
The same service costs 3.2 times more in Alaska 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· 27th of 51
$5.50
AK $12.59NJ $3.98
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.