How much rates vary
Facilitymedian $30 · 10th to 90th $15 to $85Professionalmedian $9 · 10th to 90th $5 to $14
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 $11.75 Median $22.39 Typical High $79.43 | Facility | None | $11.75 | $22.39 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $18.62 | Professional | None | $9.33 | $10.23 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
BCBS Texas Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $102.33 | Facility | None | $23.99 | $58.88 | $102.33 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $10.96 | Professional | None | $5.01 | $8.51 | $10.96 |
Christus Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $33.88 Typical High $64.57 | Facility | None | $15.49 | $33.88 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $25.70 | Professional | None | $8.91 | $11.22 | $25.70 |
Health Smart Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Health Smart Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | None | $23.44 | $23.44 | $23.99 |
Lucent Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $11.75 Median $18.20 Typical High $83.18 | Facility | None | $11.75 | $18.20 | $83.18 |
Moda Health Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $15.49 | Professional | None | $9.33 | $10.00 | $15.49 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $12.88 | Professional | None | $11.75 | $12.88 | $12.88 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $22.91 Typical High $64.57 | Facility | None | $12.30 | $22.91 | $64.57 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $23.44 | Professional | None | $8.91 | $11.22 | $23.44 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.46 Typical High $15.49 | Facility | None | $5.62 | $6.46 | $15.49 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $12.59 | Professional | None | $6.46 | $8.91 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | None | $7.59 | $7.59 | $7.94 |
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 $5.25 Median $11.22 Typical High $41.69 | Facility | 52 · Reduced service | $5.25 | $11.22 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $4.47 Typical High $16.60 | Facility | 53 · Discontinued | $2.09 | $4.47 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | 52 · Reduced service | $4.68 | $5.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.04 Typical High $3.72 | Professional | 53 · Discontinued | $1.86 | $2.04 | $3.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.89 Median $11.22 Typical High $41.69 | Facility | 52 · Reduced service | $5.89 | $11.22 | $41.69 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $4.47 Typical High $16.60 | Facility | 53 · Discontinued | $2.34 | $4.47 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.79 Typical High $7.59 | Professional | 52 · Reduced service | $4.68 | $4.79 | $7.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.91 Typical High $3.02 | Professional | 53 · Discontinued | $1.86 | $1.91 | $3.02 |
Where Texas sits
The same service costs 6.8 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· 26th of 51
$15.49
KS $38.90KY $5.75
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.