How much rates vary
Facilitymedian $56 · 10th to 90th $31 to $170Professionalmedian $18 · 10th to 90th $5 to $29
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 $20.89 Median $44.67 Typical High $158.49 | Facility | None | $20.89 | $44.67 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $31.62 | Professional | None | $18.62 | $20.42 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $21.38 | Professional | None | $14.79 | $19.05 | $21.38 |
BCBS Texas Setting Facility Modifier None Typical Low $42.66 Median $112.20 Typical High $208.93 | Facility | None | $42.66 | $112.20 | $208.93 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $16.98 Typical High $22.39 | Professional | None | $5.01 | $16.98 | $22.39 |
Christus Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $67.61 Typical High $128.82 | Facility | None | $30.90 | $67.61 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $51.29 | Professional | None | $17.38 | $22.39 | $51.29 |
Health Smart Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Health Smart Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | None | $46.77 | $46.77 | $47.86 |
Lucent Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $165.96 | Facility | None | $21.88 | $32.36 | $165.96 |
Moda Health Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $30.90 | Professional | None | $18.62 | $20.42 | $30.90 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | None | $23.44 | $26.30 | $26.30 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $45.71 Typical High $128.82 | Facility | None | $22.39 | $45.71 | $128.82 |
Providence Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $46.77 | Professional | None | $17.38 | $22.39 | $46.77 |
United Setting Facility Modifier None Typical Low $11.22 Median $30.90 Typical High $104.71 | Facility | None | $11.22 | $30.90 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $17.78 Typical High $33.88 | Professional | None | $12.88 | $17.78 | $33.88 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $16.22 | Professional | None | $15.14 | $15.14 | $16.22 |
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 $10.47 Median $22.39 Typical High $83.18 | Facility | 52 · Reduced service | $10.47 | $22.39 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $8.91 Typical High $33.88 | Facility | 53 · Discontinued | $4.17 | $8.91 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $10.23 Typical High $18.62 | Professional | 52 · Reduced service | $9.33 | $10.23 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.07 Typical High $7.41 | Professional | 53 · Discontinued | $3.72 | $4.07 | $7.41 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $11.75 Median $22.39 Typical High $83.18 | Facility | 52 · Reduced service | $11.75 | $22.39 | $83.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $8.91 Typical High $33.88 | Facility | 53 · Discontinued | $4.68 | $8.91 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.55 Typical High $14.45 | Professional | 52 · Reduced service | $9.33 | $9.55 | $14.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.80 Typical High $5.75 | Professional | 53 · Discontinued | $3.72 | $3.80 | $5.75 |
Where Texas sits
The same service costs 4.2 times more in Kansas than in Alabama. 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
$30.90
KS $77.62AL $18.62
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.