How much rates vary
Facilitymedian $18 · 10th to 90th $5 to $33Professionalmedian $3 · 10th to 90th $2 to $6
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 $3.24 Median $6.92 Typical High $26.30 | Facility | None | $3.24 | $6.92 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.16 Typical High $5.75 | Professional | None | $2.88 | $3.16 | $5.75 |
BCBS Texas Setting Facility Modifier None Typical Low $7.24 Median $17.78 Typical High $33.88 | Facility | None | $7.24 | $17.78 | $33.88 |
BCBS Texas Setting Professional Modifier None Typical Low $3.39 Median $5.01 Typical High $6.61 | Professional | None | $3.39 | $5.01 | $6.61 |
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 $4.68 Median $10.47 Typical High $18.62 | Facility | None | $4.68 | $10.47 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.31 Typical High $7.59 | Professional | None | $2.57 | $3.31 | $7.59 |
Health Smart Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Health Smart Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | None | $6.92 | $6.92 | $7.08 |
Lucent Health Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Moda Health Setting Facility Modifier None Typical Low $3.63 Median $5.01 Typical High $11.22 | Facility | None | $3.63 | $5.01 | $11.22 |
Moda Health Setting Professional Modifier None Typical Low $2.88 Median $3.16 Typical High $5.62 | Professional | None | $2.88 | $3.16 | $5.62 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $4.07 | Professional | None | $3.63 | $4.07 | $4.07 |
Providence Setting Facility Modifier None Typical Low $3.72 Median $6.76 Typical High $18.20 | Facility | None | $3.72 | $6.76 | $18.20 |
Providence Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $6.76 | Professional | None | $2.57 | $3.24 | $6.76 |
United Setting Facility Modifier None Typical Low $1.74 Median $4.79 Typical High $23.99 | Facility | None | $1.74 | $4.79 | $23.99 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.63 Typical High $4.90 | Professional | None | $2.04 | $2.63 | $4.90 |
Wellpoint Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.51 | Professional | None | $2.24 | $2.24 | $2.51 |
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 $1.62 Median $3.47 Typical High $12.88 | Facility | 52 · Reduced service | $1.62 | $3.47 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.38 Typical High $5.25 | Facility | 53 · Discontinued | $0.65 | $1.38 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.58 Typical High $2.88 | Professional | 52 · Reduced service | $1.45 | $1.58 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.65 Typical High $1.15 | Professional | 53 · Discontinued | $0.58 | $0.65 | $1.15 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.82 Median $3.47 Typical High $12.88 | Facility | 52 · Reduced service | $1.82 | $3.47 | $12.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.72 Median $1.38 Typical High $5.25 | Facility | 53 · Discontinued | $0.72 | $1.38 | $5.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.51 Typical High $2.34 | Professional | 52 · Reduced service | $1.45 | $1.51 | $2.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.60 Typical High $0.93 | Professional | 53 · Discontinued | $0.58 | $0.60 | $0.93 |
Where Texas sits
The same service costs 3.2 times more in Texas 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· 1st of 51
$11.22
TX $11.22NJ $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.