How much rates vary
Facilitymedian $26 · 10th to 90th $9 to $59Professionalmedian $5 · 10th to 90th $4 to $10
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 $6.76 Median $14.45 Typical High $54.95 | Facility | None | $6.76 | $14.45 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $12.02 | Professional | None | $6.03 | $6.31 | $12.02 |
BCBS Texas Setting Facility Modifier None Typical Low $13.80 Median $35.48 Typical High $67.61 | Facility | None | $13.80 | $35.48 | $67.61 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $7.24 | Professional | None | $5.01 | $5.50 | $7.24 |
Christus Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $20.89 Typical High $32.36 | Facility | None | $8.13 | $20.89 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $5.50 Typical High $15.49 | Professional | None | $4.90 | $5.50 | $15.49 |
Health Smart Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Health Smart Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Lucent Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Moda Health Setting Facility Modifier None Typical Low $7.24 Median $10.00 Typical High $46.77 | Facility | None | $7.24 | $10.00 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $10.23 | Professional | None | $6.03 | $6.31 | $10.23 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | None | $7.59 | $8.51 | $8.51 |
Providence Setting Facility Modifier None Typical Low $7.24 Median $12.30 Typical High $32.36 | Facility | None | $7.24 | $12.30 | $32.36 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $12.88 | Professional | None | $4.79 | $5.50 | $12.88 |
United Setting Facility Modifier None Typical Low $3.63 Median $4.27 Typical High $10.00 | Facility | None | $3.63 | $4.27 | $10.00 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.37 Typical High $6.61 | Professional | None | $4.27 | $4.37 | $6.61 |
Wellpoint Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.25 | Professional | None | $4.07 | $4.07 | $5.25 |
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 $3.39 Median $7.24 Typical High $27.54 | Facility | 52 · Reduced service | $3.39 | $7.24 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.35 Median $2.88 Typical High $10.96 | Facility | 53 · Discontinued | $1.35 | $2.88 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.31 Typical High $6.03 | Professional | 52 · Reduced service | $3.02 | $3.31 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.32 Typical High $2.40 | Professional | 53 · Discontinued | $1.20 | $1.32 | $2.40 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.80 Median $7.24 Typical High $27.54 | Facility | 52 · Reduced service | $3.80 | $7.24 | $27.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $2.88 Typical High $10.96 | Facility | 53 · Discontinued | $1.51 | $2.88 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.16 Typical High $4.90 | Professional | 52 · Reduced service | $3.02 | $3.16 | $4.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.26 Typical High $1.95 | Professional | 53 · Discontinued | $1.20 | $1.26 | $1.95 |
Where Texas sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$10.00
KS $34.67KY $6.46
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.