How much rates vary
Facilitymedian $14 · 10th to 90th $5 to $32Professionalmedian $3 · 10th to 90th $3 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 $3.63 Median $7.94 Typical High $29.51 | Facility | None | $3.63 | $7.94 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $6.61 | Professional | None | $3.31 | $3.63 | $6.61 |
BCBS Texas Setting Facility Modifier None Typical Low $5.50 Median $17.78 Typical High $36.31 | Facility | None | $5.50 | $17.78 | $36.31 |
BCBS Texas Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $5.50 | Professional | None | $3.02 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $12.02 Typical High $23.44 | Facility | None | $5.50 | $12.02 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $3.98 Typical High $9.33 | Professional | None | $3.16 | $3.98 | $9.33 |
Health Smart Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Health Smart Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | None | $8.32 | $8.32 | $8.51 |
Lucent Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Moda Health Setting Facility Modifier None Typical Low $4.17 Median $5.89 Typical High $29.51 | Facility | None | $4.17 | $5.89 | $29.51 |
Moda Health Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $6.61 | Professional | None | $3.31 | $3.63 | $6.61 |
Molina Setting Professional Modifier None Typical Low $4.17 Median $4.57 Typical High $4.57 | Professional | None | $4.17 | $4.57 | $4.57 |
Providence Setting Facility Modifier None Typical Low $4.47 Median $8.13 Typical High $23.44 | Facility | None | $4.47 | $8.13 | $23.44 |
Providence Setting Professional Modifier None Typical Low $3.16 Median $3.98 Typical High $7.94 | Professional | None | $3.16 | $3.98 | $7.94 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.29 Typical High $5.50 | Facility | None | $2.00 | $2.29 | $5.50 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.16 Typical High $4.47 | Professional | None | $2.29 | $3.16 | $4.47 |
Wellpoint Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.82 | Professional | None | $2.69 | $2.69 | $2.82 |
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 $1.86 Median $3.98 Typical High $14.79 | Facility | 52 · Reduced service | $1.86 | $3.98 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.74 Median $1.58 Typical High $5.89 | Facility | 53 · Discontinued | $0.74 | $1.58 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.82 Typical High $3.31 | Professional | 52 · Reduced service | $1.66 | $1.82 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.72 Typical High $1.32 | Professional | 53 · Discontinued | $0.66 | $0.72 | $1.32 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.09 Median $3.98 Typical High $14.79 | Facility | 52 · Reduced service | $2.09 | $3.98 | $14.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.83 Median $1.58 Typical High $5.89 | Facility | 53 · Discontinued | $0.83 | $1.58 | $5.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.70 Typical High $2.69 | Professional | 52 · Reduced service | $1.66 | $1.70 | $2.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.68 Typical High $1.07 | Professional | 53 · Discontinued | $0.66 | $0.68 | $1.07 |
Where Texas sits
The same service costs 6.0 times more in Kansas 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· 29th of 51
$5.50
KS $25.12MD $4.17
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.