How much rates vary
Facilitymedian $14 · 10th to 90th $7 to $65Professionalmedian $5 · 10th to 90th $4 to $7
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 $4.17 Median $6.61 Typical High $34.67 | Facility | None | $4.17 | $6.61 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $9.33 | Professional | None | $4.07 | $4.79 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $6.92 | Professional | None | $2.40 | $3.47 | $6.92 |
BCBS Texas Setting Facility Modifier None Typical Low $7.59 Median $22.91 Typical High $45.71 | Facility | None | $7.59 | $22.91 | $45.71 |
BCBS Texas Setting Professional Modifier None Typical Low $3.80 Median $5.01 Typical High $5.50 | Professional | None | $3.80 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $6.31 Median $6.92 Typical High $42.66 | Facility | None | $6.31 | $6.92 | $42.66 |
Christus Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $14.79 Typical High $28.18 | Facility | None | $6.92 | $14.79 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $5.01 Typical High $11.48 | Professional | None | $3.89 | $5.01 | $11.48 |
Health Smart Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Health Smart Setting Professional Modifier None Typical Low $6.17 Median $10.00 Typical High $11.22 | Professional | None | $6.17 | $10.00 | $11.22 |
Lucent Health Setting Professional Modifier None Typical Low $6.17 Median $6.61 Typical High $11.75 | Professional | None | $6.17 | $6.61 | $11.75 |
Moda Health Setting Facility Modifier None Typical Low $5.25 Median $31.62 Typical High $131.83 | Facility | None | $5.25 | $31.62 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $9.33 | Professional | None | $4.07 | $5.75 | $9.33 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $5.75 | Professional | None | $5.13 | $5.75 | $5.75 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $10.00 Typical High $28.18 | Facility | None | $5.50 | $10.00 | $28.18 |
Providence Setting Professional Modifier None Typical Low $3.89 Median $5.01 Typical High $10.23 | Professional | None | $3.89 | $5.01 | $10.23 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.88 Typical High $6.92 | Facility | None | $2.45 | $2.88 | $6.92 |
United Setting Professional Modifier None Typical Low $2.88 Median $3.89 Typical High $5.62 | Professional | None | $2.88 | $3.89 | $5.62 |
Wellpoint Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | None | $3.39 | $3.39 | $3.55 |
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 $2.29 Median $4.90 Typical High $18.62 | Facility | 52 · Reduced service | $2.29 | $4.90 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.91 Median $2.00 Typical High $7.41 | Facility | 53 · Discontinued | $0.91 | $2.00 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.29 Typical High $4.07 | Professional | 52 · Reduced service | $2.04 | $2.29 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.91 Typical High $1.66 | Professional | 53 · Discontinued | $0.81 | $0.91 | $1.66 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.57 Median $4.90 Typical High $18.62 | Facility | 52 · Reduced service | $2.57 | $4.90 | $18.62 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.05 Median $2.00 Typical High $7.41 | Facility | 53 · Discontinued | $1.05 | $2.00 | $7.41 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.14 Typical High $3.31 | Professional | 52 · Reduced service | $2.04 | $2.14 | $3.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.85 Typical High $1.32 | Professional | 53 · Discontinued | $0.81 | $0.85 | $1.32 |
Where Texas sits
The same service costs 13.5 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· 32nd of 51
$6.76
VT $69.18MD $5.13
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.