How much rates vary
Facilitymedian $63 · 10th to 90th $33 to $186Professionalmedian $19 · 10th to 90th $5 to $31
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 $22.91 Median $48.98 Typical High $173.78 | Facility | None | $22.91 | $48.98 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $40.74 | Professional | None | $20.42 | $21.38 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
BCBS Texas Setting Facility Modifier None Typical Low $51.29 Median $125.89 Typical High $229.09 | Facility | None | $51.29 | $125.89 | $229.09 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $18.62 Typical High $25.12 | Professional | None | $5.01 | $18.62 | $25.12 |
Christus Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $74.13 Typical High $141.25 | Facility | None | $33.88 | $74.13 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $56.23 | Professional | None | $19.05 | $24.55 | $56.23 |
Health Smart Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Health Smart Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | None | $51.29 | $51.29 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $177.83 | Facility | None | $25.70 | $37.15 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $33.88 | Professional | None | $20.42 | $25.70 | $33.88 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | None | $25.70 | $28.18 | $28.18 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $50.12 Typical High $141.25 | Facility | None | $26.92 | $50.12 | $141.25 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $51.29 | Professional | None | $19.05 | $24.55 | $51.29 |
United Setting Facility Modifier None Typical Low $12.30 Median $14.13 Typical High $33.88 | Facility | None | $12.30 | $14.13 | $33.88 |
United Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $27.54 | Professional | None | $14.13 | $19.50 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | None | $16.60 | $16.60 | $17.38 |
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 $11.48 Median $24.55 Typical High $91.20 | Facility | 52 · Reduced service | $11.48 | $24.55 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $9.77 Typical High $36.31 | Facility | 53 · Discontinued | $4.57 | $9.77 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $11.22 Typical High $20.42 | Professional | 52 · Reduced service | $10.23 | $11.22 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $8.13 | Professional | 53 · Discontinued | $4.07 | $4.47 | $8.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.88 Median $24.55 Typical High $91.20 | Facility | 52 · Reduced service | $12.88 | $24.55 | $91.20 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $9.77 Typical High $37.15 | Facility | 53 · Discontinued | $5.13 | $9.77 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.47 Typical High $16.60 | Professional | 52 · Reduced service | $10.23 | $10.47 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $6.61 | Professional | 53 · Discontinued | $4.07 | $4.17 | $6.61 |
Where Texas sits
The same service costs 4.4 times more in Kansas than in Alabama. 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
$33.11
KS $81.28AL $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.