How much rates vary
Facilitymedian $10 · 10th to 90th $5 to $30Professionalmedian $3 · 10th to 90th $2 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 $3.39 Median $7.24 Typical High $27.54 | Facility | None | $3.39 | $7.24 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $6.17 | Professional | None | $3.02 | $3.39 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.13 | Professional | None | $3.09 | $3.09 | $5.13 |
BCBS Texas Setting Facility Modifier None Typical Low $7.41 Median $18.62 Typical High $35.48 | Facility | None | $7.41 | $18.62 | $35.48 |
BCBS Texas Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $5.50 | Professional | None | $2.82 | $5.01 | $5.50 |
Baylor Scott & White Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $7.08 | Professional | None | $3.80 | $4.57 | $7.08 |
Christus Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.96 Typical High $19.95 | Facility | None | $4.90 | $10.96 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $8.13 | Professional | None | $2.75 | $3.47 | $8.13 |
Health Smart Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Health Smart Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $7.76 | Professional | None | $4.57 | $4.90 | $7.76 |
Lucent Health Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $8.51 | Professional | None | $4.57 | $4.90 | $8.51 |
Moda Health Setting Facility Modifier None Typical Low $3.89 Median $6.17 Typical High $57.54 | Facility | None | $3.89 | $6.17 | $57.54 |
Moda Health Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $5.62 | Professional | None | $3.02 | $3.89 | $5.62 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Providence Setting Facility Modifier None Typical Low $3.98 Median $7.08 Typical High $19.05 | Facility | None | $3.98 | $7.08 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $7.08 | Professional | None | $2.75 | $3.47 | $7.08 |
United Setting Facility Modifier None Typical Low $1.82 Median $2.14 Typical High $5.13 | Facility | None | $1.82 | $2.14 | $5.13 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $4.07 | Professional | None | $2.14 | $2.69 | $4.07 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.63 | Professional | None | $2.34 | $2.34 | $2.63 |
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 $1.70 Median $3.63 Typical High $13.80 | Facility | 52 · Reduced service | $1.70 | $3.63 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.68 | $1.45 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.70 Typical High $3.02 | Professional | 52 · Reduced service | $1.51 | $1.70 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.68 Typical High $1.23 | Professional | 53 · Discontinued | $0.62 | $0.68 | $1.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.91 Median $3.63 Typical High $13.80 | Facility | 52 · Reduced service | $1.91 | $3.63 | $13.80 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.78 | $1.45 | $5.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.58 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $1.58 | $2.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.63 Typical High $1.00 | Professional | 53 · Discontinued | $0.62 | $0.63 | $1.00 |
Where Texas sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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· 29th of 51
$5.13
KS $12.88NJ $3.63
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.