How much rates vary
Facilitymedian $89 · 10th to 90th $31 to $204Professionalmedian $20 · 10th to 90th $5 to $32
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 $23.44 Median $51.29 Typical High $190.55 | Facility | None | $23.44 | $51.29 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $35.48 | Professional | None | $21.38 | $23.44 | $35.48 |
BCBS Texas Setting Facility Modifier None Typical Low $45.71 Median $125.89 Typical High $234.42 | Facility | None | $45.71 | $125.89 | $234.42 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $19.50 Typical High $23.99 | Professional | None | $5.01 | $19.50 | $23.99 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $75.86 Typical High $144.54 | Facility | None | $35.48 | $75.86 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $58.88 | Professional | None | $19.95 | $25.70 | $58.88 |
Health Smart Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Health Smart Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Lucent Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $162.18 | Facility | None | $21.88 | $35.48 | $162.18 |
Moda Health Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $35.48 | Professional | None | $21.38 | $23.44 | $35.48 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | None | $26.30 | $29.51 | $29.51 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $52.48 Typical High $144.54 | Facility | None | $25.70 | $52.48 | $144.54 |
Providence Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $53.70 | Professional | None | $19.95 | $25.70 | $53.70 |
United Setting Facility Modifier None Typical Low $12.59 Median $35.48 Typical High $48.98 | Facility | None | $12.59 | $35.48 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $28.18 | Professional | None | $14.79 | $20.42 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | None | $17.38 | $17.38 | $18.20 |
9 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 $11.75 Median $25.70 Typical High $95.50 | Facility | 52 · Reduced service | $11.75 | $25.70 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $10.23 Typical High $38.02 | Facility | 53 · Discontinued | $4.68 | $10.23 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $11.22 Typical High $20.89 | Professional | 52 · Reduced service | $10.72 | $11.22 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.47 Typical High $8.51 | Professional | 53 · Discontinued | $4.27 | $4.47 | $8.51 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 90 · Outside lab | $16.98 | $16.98 | $16.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $13.49 Median $25.70 Typical High $95.50 | Facility | 52 · Reduced service | $13.49 | $25.70 | $95.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $10.23 Typical High $38.02 | Facility | 53 · Discontinued | $5.37 | $10.23 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.96 Typical High $16.60 | Professional | 52 · Reduced service | $10.72 | $10.96 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.27 | $4.37 | $6.61 |
Where Texas sits
The same service costs 4.3 times more in Alaska 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· 19th of 51
$35.48
AK $79.43KY $18.62
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.