How much rates vary
Facilitymedian $20 · 10th to 90th $11 to $72Professionalmedian $9 · 10th to 90th $6 to $15
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 $6.61 Median $12.88 Typical High $54.95 | Facility | None | $6.61 | $12.88 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $14.79 | Professional | None | $6.46 | $7.24 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $6.61 Typical High $10.72 | Professional | None | $5.13 | $6.61 | $10.72 |
BCBS Texas Setting Facility Modifier None Typical Low $11.75 Median $34.67 Typical High $72.44 | Facility | None | $11.75 | $34.67 | $72.44 |
BCBS Texas Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $11.75 | Professional | None | $5.89 | $9.12 | $11.75 |
Baylor Scott & White Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $61.66 | Facility | None | $10.00 | $14.45 | $61.66 |
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 $10.72 Median $23.44 Typical High $44.67 | Facility | None | $10.72 | $23.44 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $41.69 | Professional | None | $11.22 | $15.85 | $41.69 |
Health Smart Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Health Smart Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $42.66 | Professional | None | $16.22 | $26.30 | $42.66 |
Lucent Health Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $43.65 | Professional | None | $16.22 | $26.30 | $43.65 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $25.70 Typical High $234.42 | Facility | None | $11.22 | $25.70 | $234.42 |
Moda Health Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $12.88 | Professional | None | $6.46 | $9.55 | $12.88 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $9.12 | Professional | None | $8.13 | $9.12 | $9.12 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $44.67 | Facility | None | $12.02 | $18.62 | $44.67 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $37.15 | Professional | None | $11.22 | $14.45 | $37.15 |
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 $6.17 Typical High $7.41 | Professional | None | $4.47 | $6.17 | $7.41 |
Wellpoint Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.62 | Professional | None | $5.25 | $5.25 | $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 $11.75 | Facility | 53 · Discontinued | $1.45 | $3.09 | $11.75 |
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 $11.75 | Facility | 53 · Discontinued | $1.62 | $3.09 | $11.75 |
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 7.9 times more in Vermont than in Washington, DC. 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· 41st of 51
$10.96
VT $67.61DC $8.51
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.