How much rates vary
Facilitymedian $10 · 10th to 90th $5 to $65Professionalmedian $3 · 10th to 90th $2 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 $3.31 Median $6.61 Typical High $25.70 | Facility | None | $3.31 | $6.61 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.55 Typical High $6.92 | Professional | None | $3.02 | $3.55 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $10.23 | Professional | None | $2.45 | $3.09 | $10.23 |
BCBS Texas Setting Facility Modifier None Typical Low $5.62 Median $16.98 Typical High $33.88 | Facility | None | $5.62 | $16.98 | $33.88 |
BCBS Texas Setting Professional Modifier None Typical Low $2.75 Median $5.01 Typical High $5.50 | Professional | None | $2.75 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.96 Typical High $20.42 | Facility | None | $4.90 | $10.96 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $8.13 | Professional | None | $2.75 | $3.47 | $8.13 |
Health Smart Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Health Smart Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $7.76 | Professional | None | $4.57 | $4.90 | $7.76 |
Lucent Health Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $8.51 | Professional | None | $4.57 | $4.90 | $8.51 |
Moda Health Setting Facility Modifier None Typical Low $4.47 Median $52.48 Typical High $134.90 | Facility | None | $4.47 | $52.48 | $134.90 |
Moda Health Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $5.75 | Professional | None | $3.02 | $4.27 | $5.75 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Providence Setting Facility Modifier None Typical Low $3.98 Median $7.24 Typical High $19.95 | Facility | None | $3.98 | $7.24 | $19.95 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $7.24 | Professional | None | $2.75 | $3.47 | $7.24 |
United Setting Facility Modifier None Typical Low $1.82 Median $2.14 Typical High $5.01 | Facility | None | $1.82 | $2.14 | $5.01 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.75 Typical High $4.07 | Professional | None | $2.14 | $2.75 | $4.07 |
Wellpoint Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.63 | Professional | None | $2.40 | $2.40 | $2.63 |
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 $1.70 Median $3.63 Typical High $13.80 | Facility | 52 · Reduced service | $1.70 | $3.63 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.68 | $1.45 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.66 Typical High $3.02 | Professional | 52 · Reduced service | $1.51 | $1.66 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.68 Typical High $1.20 | Professional | 53 · Discontinued | $0.62 | $0.68 | $1.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.91 Median $3.63 Typical High $13.80 | Facility | 52 · Reduced service | $1.91 | $3.63 | $13.80 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.78 | $1.45 | $5.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.58 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $1.58 | $2.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.63 Typical High $0.98 | Professional | 53 · Discontinued | $0.62 | $0.63 | $0.98 |
Where Texas sits
The same service costs 9.3 times more in Vermont than in Maryland. 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· 23rd of 51
$5.50
VT $35.48MD $3.80
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.