How much rates vary
Facilitymedian $29 · 10th to 90th $17 to $93Professionalmedian $10 · 10th to 90th $8 to $21
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 $11.22 Median $24.55 Typical High $91.20 | Facility | None | $11.22 | $24.55 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $20.42 | Professional | None | $10.23 | $11.22 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
BCBS Texas Setting Facility Modifier None Typical Low $25.70 Median $64.57 Typical High $120.23 | Facility | None | $25.70 | $64.57 | $120.23 |
BCBS Texas Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $13.49 | Professional | None | $9.12 | $9.33 | $13.49 |
Christus Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $70.79 | Facility | None | $16.98 | $37.15 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $17.78 Typical High $45.71 | Professional | None | $8.71 | $17.78 | $45.71 |
Health Smart Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Health Smart Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Lucent Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $38.90 | Facility | None | $13.80 | $17.78 | $38.90 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $20.89 | Professional | None | $10.23 | $11.22 | $20.89 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $14.45 | Professional | None | $12.88 | $14.45 | $14.45 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $21.88 Typical High $70.79 | Facility | None | $16.22 | $21.88 | $70.79 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $33.11 | Professional | None | $8.71 | $17.38 | $33.11 |
United Setting Facility Modifier None Typical Low $6.17 Median $7.08 Typical High $16.98 | Facility | None | $6.17 | $7.08 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $13.80 | Professional | None | $7.08 | $9.77 | $13.80 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.91 | Professional | None | $8.32 | $8.32 | $8.91 |
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 $5.75 Median $12.30 Typical High $45.71 | Facility | 52 · Reduced service | $5.75 | $12.30 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.90 Typical High $18.62 | Facility | 53 · Discontinued | $2.29 | $4.90 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.62 Typical High $10.23 | Professional | 52 · Reduced service | $5.13 | $5.62 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $4.07 | Professional | 53 · Discontinued | $2.04 | $2.24 | $4.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $12.30 Typical High $45.71 | Facility | 52 · Reduced service | $6.46 | $12.30 | $45.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $4.90 Typical High $18.62 | Facility | 53 · Discontinued | $2.57 | $4.90 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.25 Typical High $8.32 | Professional | 52 · Reduced service | $5.13 | $5.25 | $8.32 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $3.31 | Professional | 53 · Discontinued | $2.04 | $2.09 | $3.31 |
Where Texas sits
The same service costs 3.7 times more in Kansas 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· 35th of 51
$16.98
KS $48.98NJ $13.18
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.