How much rates vary
Facilitymedian $19 · 10th to 90th $7 to $42Professionalmedian $4 · 10th to 90th $3 to $6
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 $4.79 Median $10.47 Typical High $38.90 | Facility | None | $4.79 | $10.47 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $8.71 | Professional | None | $4.37 | $4.79 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
BCBS Texas Setting Facility Modifier None Typical Low $10.47 Median $26.30 Typical High $47.86 | Facility | None | $10.47 | $26.30 | $47.86 |
BCBS Texas Setting Professional Modifier None Typical Low $3.98 Median $5.01 Typical High $5.50 | Professional | None | $3.98 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $26.92 | Facility | None | $7.08 | $15.49 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $10.96 | Professional | None | $3.72 | $4.68 | $10.96 |
Health Smart Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Health Smart Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | None | $10.00 | $10.00 | $10.23 |
Lucent Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Moda Health Setting Facility Modifier None Typical Low $5.50 Median $7.59 Typical High $16.60 | Facility | None | $5.50 | $7.59 | $16.60 |
Moda Health Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $8.13 | Professional | None | $4.37 | $4.79 | $8.13 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $6.03 | Professional | None | $5.37 | $6.03 | $6.03 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $9.77 Typical High $26.92 | Facility | None | $5.50 | $9.77 | $26.92 |
Providence Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $10.00 | Professional | None | $3.72 | $4.68 | $10.00 |
United Setting Facility Modifier None Typical Low $2.57 Median $3.02 Typical High $7.24 | Facility | None | $2.57 | $3.02 | $7.24 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $5.62 | Professional | None | $3.02 | $3.89 | $5.62 |
Wellpoint Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.72 | Professional | None | $3.24 | $3.24 | $3.72 |
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 $2.40 Median $5.13 Typical High $19.50 | Facility | 52 · Reduced service | $2.40 | $5.13 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.95 Median $2.04 Typical High $7.76 | Facility | 53 · Discontinued | $0.95 | $2.04 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.40 Typical High $4.37 | Professional | 52 · Reduced service | $2.14 | $2.40 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.95 Typical High $1.74 | Professional | 53 · Discontinued | $0.85 | $0.95 | $1.74 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.69 Median $5.13 Typical High $19.50 | Facility | 52 · Reduced service | $2.69 | $5.13 | $19.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $2.09 Typical High $7.76 | Facility | 53 · Discontinued | $1.10 | $2.09 | $7.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.24 Typical High $3.47 | Professional | 52 · Reduced service | $2.14 | $2.24 | $3.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.89 Typical High $1.41 | Professional | 53 · Discontinued | $0.85 | $0.89 | $1.41 |
Where Texas sits
The same service costs 4.1 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· 24th of 51
$7.24
KS $20.89KY $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.