How much rates vary
Facilitymedian $7 · 10th to 90th $3 to $41Professionalmedian $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 $2.34 Median $4.57 Typical High $19.50 | Facility | None | $2.34 | $4.57 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $5.01 | Professional | None | $2.29 | $2.51 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $1.70 Median $2.34 Typical High $7.08 | Professional | None | $1.70 | $2.34 | $7.08 |
BCBS Texas Setting Facility Modifier None Typical Low $2.45 Median $9.33 Typical High $23.99 | Facility | None | $2.45 | $9.33 | $23.99 |
BCBS Texas Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $5.50 | Professional | None | $2.45 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $7.94 Typical High $14.13 | Facility | None | $3.72 | $7.94 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.63 Typical High $6.03 | Professional | None | $2.04 | $2.63 | $6.03 |
Health Smart Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Health Smart Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | None | $5.25 | $5.25 | $5.37 |
Lucent Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Moda Health Setting Facility Modifier None Typical Low $3.39 Median $33.11 Typical High $70.79 | Facility | None | $3.39 | $33.11 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $2.29 Median $2.75 Typical High $5.13 | Professional | None | $2.29 | $2.75 | $5.13 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | None | $2.82 | $3.16 | $3.16 |
Providence Setting Facility Modifier None Typical Low $2.95 Median $5.01 Typical High $14.13 | Facility | None | $2.95 | $5.01 | $14.13 |
Providence Setting Professional Modifier None Typical Low $2.04 Median $2.57 Typical High $5.13 | Professional | None | $2.04 | $2.57 | $5.13 |
United Setting Facility Modifier None Typical Low $1.38 Median $3.80 Typical High $7.59 | Facility | None | $1.38 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.04 Typical High $2.95 | Professional | None | $1.58 | $2.04 | $2.95 |
Wellpoint Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.95 | Professional | None | $1.70 | $1.70 | $1.95 |
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 $1.29 Median $2.75 Typical High $10.23 | Facility | 52 · Reduced service | $1.29 | $2.75 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.51 Median $1.10 Typical High $4.07 | Facility | 53 · Discontinued | $0.51 | $1.10 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.26 Typical High $2.29 | Professional | 52 · Reduced service | $1.12 | $1.26 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.50 Typical High $0.91 | Professional | 53 · Discontinued | $0.46 | $0.50 | $0.91 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.45 Median $2.75 Typical High $10.23 | Facility | 52 · Reduced service | $1.45 | $2.75 | $10.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.58 Median $1.10 Typical High $4.07 | Facility | 53 · Discontinued | $0.58 | $1.10 | $4.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.17 Typical High $1.86 | Professional | 52 · Reduced service | $1.15 | $1.17 | $1.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.47 Typical High $0.74 | Professional | 53 · Discontinued | $0.46 | $0.47 | $0.74 |
Where Texas sits
The same service costs 11.7 times more in Minnesota 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· 17th of 51
$4.47
MN $28.84KY $2.45
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.