How much rates vary
Facilitymedian $28 · 10th to 90th $11 to $63Professionalmedian $6 · 10th to 90th $5 to $11
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 $7.08 Median $15.14 Typical High $57.54 | Facility | None | $7.08 | $15.14 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $14.45 | Professional | None | $6.31 | $7.08 | $14.45 |
BCBS Texas Setting Facility Modifier None Typical Low $16.22 Median $39.81 Typical High $74.13 | Facility | None | $16.22 | $39.81 | $74.13 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.89 Typical High $7.41 | Professional | None | $5.01 | $5.89 | $7.41 |
Christus Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $22.91 Typical High $43.65 | Facility | None | $10.47 | $22.91 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $17.38 | Professional | None | $5.89 | $7.41 | $17.38 |
Health Smart Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Health Smart Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Lucent Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Moda Health Setting Facility Modifier None Typical Low $8.13 Median $11.22 Typical High $25.70 | Facility | None | $8.13 | $11.22 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $14.45 | Professional | None | $6.31 | $7.08 | $14.45 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | None | $7.94 | $8.91 | $8.91 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $15.49 Typical High $43.65 | Facility | None | $8.32 | $15.49 | $43.65 |
Providence Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $15.49 | Professional | None | $5.89 | $7.41 | $15.49 |
United Setting Facility Modifier None Typical Low $3.80 Median $10.72 Typical High $22.39 | Facility | None | $3.80 | $10.72 | $22.39 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $11.48 | Professional | None | $4.47 | $6.03 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.50 | Professional | None | $5.13 | $5.13 | $5.50 |
9 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 $3.55 Median $7.59 Typical High $28.84 | Facility | 52 · Reduced service | $3.55 | $7.59 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.41 Median $3.09 Typical High $11.48 | Facility | 53 · Discontinued | $1.41 | $3.09 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.55 Typical High $6.31 | Professional | 52 · Reduced service | $3.16 | $3.55 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.41 Typical High $2.51 | Professional | 53 · Discontinued | $1.29 | $1.41 | $2.51 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 90 · Outside lab | $5.13 | $5.13 | $5.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.98 Median $7.59 Typical High $28.84 | Facility | 52 · Reduced service | $3.98 | $7.59 | $28.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $3.09 Typical High $11.48 | Facility | 53 · Discontinued | $1.62 | $3.09 | $11.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.31 Typical High $5.13 | Professional | 52 · Reduced service | $3.16 | $3.31 | $5.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.32 Typical High $2.04 | Professional | 53 · Discontinued | $1.29 | $1.32 | $2.04 |
Where Texas sits
The same service costs 3.9 times more in Kansas than in Nebraska. 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
$10.96
KS $27.54NE $7.08
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.