How much rates vary
Facilitymedian $11 · 10th to 90th $4 to $87Professionalmedian $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 $2.82 Median $4.07 Typical High $22.91 | Facility | None | $2.82 | $4.07 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.09 Typical High $6.31 | Professional | None | $2.69 | $3.09 | $6.31 |
Ambetter Setting Professional Modifier None Typical Low $1.58 Median $2.24 Typical High $4.47 | Professional | None | $1.58 | $2.24 | $4.47 |
BCBS Texas Setting Facility Modifier None Typical Low $5.01 Median $14.79 Typical High $30.20 | Facility | None | $5.01 | $14.79 | $30.20 |
BCBS Texas Setting Professional Modifier None Typical Low $2.51 Median $4.90 Typical High $5.50 | Professional | None | $2.51 | $4.90 | $5.50 |
Christus Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $9.77 Typical High $19.05 | Facility | None | $4.57 | $9.77 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $8.13 | Professional | None | $2.57 | $4.37 | $8.13 |
Health Smart Setting Facility Modifier None Typical Low $6.92 Median $8.51 Typical High $8.51 | Facility | None | $6.92 | $8.51 | $8.51 |
Health Smart Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $8.51 | Professional | None | $3.98 | $5.75 | $8.51 |
Lucent Health Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $8.91 | Professional | None | $3.98 | $5.75 | $8.91 |
Moda Health Setting Facility Modifier None Typical Low $4.37 Median $50.12 Typical High $154.88 | Facility | None | $4.37 | $50.12 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $5.37 | Professional | None | $2.69 | $3.80 | $5.37 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | None | $3.39 | $3.80 | $3.80 |
Providence Setting Facility Modifier None Typical Low $3.72 Median $6.61 Typical High $19.05 | Facility | None | $3.72 | $6.61 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.57 Median $3.63 Typical High $7.94 | Professional | None | $2.57 | $3.63 | $7.94 |
United Setting Facility Modifier None Typical Low $1.62 Median $4.47 Typical High $10.47 | Facility | None | $1.62 | $4.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $3.72 | Professional | None | $1.91 | $2.57 | $3.72 |
Wellpoint Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
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 $1.51 Median $3.24 Typical High $12.30 | Facility | 52 · Reduced service | $1.51 | $3.24 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.62 Median $1.29 Typical High $4.90 | Facility | 53 · Discontinued | $0.62 | $1.29 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.48 Typical High $2.69 | Professional | 52 · Reduced service | $1.35 | $1.48 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.60 Typical High $1.07 | Professional | 53 · Discontinued | $0.54 | $0.60 | $1.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.70 Median $3.24 Typical High $12.30 | Facility | 52 · Reduced service | $1.70 | $3.24 | $12.30 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.29 Typical High $4.90 | Facility | 53 · Discontinued | $0.68 | $1.29 | $4.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.41 Typical High $2.19 | Professional | 52 · Reduced service | $1.35 | $1.41 | $2.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.56 Typical High $0.87 | Professional | 53 · Discontinued | $0.54 | $0.56 | $0.87 |
Where Texas sits
The same service costs 15.8 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· 28th of 51
$5.01
VT $54.95MD $3.47
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.