How much rates vary
Facilitymedian $66 · 10th to 90th $25 to $148Professionalmedian $14 · 10th to 90th $5 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 $16.98 Median $36.31 Typical High $134.90 | Facility | None | $16.98 | $36.31 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $30.20 | Professional | None | $15.14 | $16.60 | $30.20 |
BCBS Texas Setting Facility Modifier None Typical Low $36.31 Median $93.33 Typical High $177.83 | Facility | None | $36.31 | $93.33 | $177.83 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $13.80 Typical High $15.85 | Professional | None | $5.01 | $13.80 | $15.85 |
Christus Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $54.95 Typical High $97.72 | Facility | None | $24.55 | $54.95 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $39.81 | Professional | None | $13.18 | $16.98 | $39.81 |
Health Smart Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Health Smart Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Lucent Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $26.30 Typical High $56.23 | Facility | None | $19.05 | $26.30 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $28.84 | Professional | None | $15.14 | $16.60 | $28.84 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | None | $19.05 | $21.38 | $21.38 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $34.67 Typical High $97.72 | Facility | None | $19.05 | $34.67 | $97.72 |
Providence Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $35.48 | Professional | None | $13.18 | $16.98 | $35.48 |
United Setting Facility Modifier None Typical Low $9.12 Median $25.12 Typical High $83.18 | Facility | None | $9.12 | $25.12 | $83.18 |
United Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $19.95 | Professional | None | $10.47 | $13.49 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | None | $11.75 | $11.75 | $13.18 |
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 $8.51 Median $18.20 Typical High $67.61 | Facility | 52 · Reduced service | $8.51 | $18.20 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $7.24 Typical High $27.54 | Facility | 53 · Discontinued | $3.39 | $7.24 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $8.32 Typical High $15.14 | Professional | 52 · Reduced service | $7.59 | $8.32 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.31 Typical High $6.03 | Professional | 53 · Discontinued | $3.02 | $3.31 | $6.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $18.20 Typical High $67.61 | Facility | 52 · Reduced service | $9.55 | $18.20 | $67.61 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $7.24 Typical High $27.54 | Facility | 53 · Discontinued | $3.80 | $7.24 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.76 Typical High $12.30 | Professional | 52 · Reduced service | $7.59 | $7.76 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.16 Typical High $4.90 | Professional | 53 · Discontinued | $3.02 | $3.16 | $4.90 |
Where Texas sits
The same service costs 3.5 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· 24th of 51
$25.12
KS $57.54AL $16.22
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.