How much rates vary
Facilitymedian $10 · 10th to 90th $3 to $23Professionalmedian $2 · 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 $2.29 Median $4.79 Typical High $18.62 | Facility | None | $2.29 | $4.79 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.24 Typical High $5.01 | Professional | None | $2.04 | $2.24 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
BCBS Texas Setting Facility Modifier None Typical Low $5.25 Median $12.88 Typical High $23.99 | Facility | None | $5.25 | $12.88 | $23.99 |
BCBS Texas Setting Professional Modifier None Typical Low $2.24 Median $5.01 Typical High $5.50 | Professional | None | $2.24 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.41 Typical High $14.13 | Facility | None | $3.47 | $7.41 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.88 Typical High $6.03 | Professional | None | $2.04 | $2.88 | $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 $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
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 $2.63 Median $4.37 Typical High $72.44 | Facility | None | $2.63 | $4.37 | $72.44 |
Moda Health Setting Professional Modifier None Typical Low $2.04 Median $2.24 Typical High $5.01 | Professional | None | $2.04 | $2.24 | $5.01 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $2.88 Typical High $2.88 | Professional | None | $2.57 | $2.88 | $2.88 |
Providence Setting Facility Modifier None Typical Low $2.75 Median $5.01 Typical High $14.13 | Facility | None | $2.75 | $5.01 | $14.13 |
Providence Setting Professional Modifier None Typical Low $2.04 Median $2.82 Typical High $6.03 | Professional | None | $2.04 | $2.82 | $6.03 |
United Setting Facility Modifier None Typical Low $1.23 Median $1.45 Typical High $3.47 | Facility | None | $1.23 | $1.45 | $3.47 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.95 Typical High $2.82 | Professional | None | $1.45 | $1.95 | $2.82 |
Wellpoint Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.78 | Professional | None | $1.70 | $1.70 | $1.78 |
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 $1.15 Median $2.45 Typical High $9.33 | Facility | 52 · Reduced service | $1.15 | $2.45 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.46 Median $1.00 Typical High $3.72 | Facility | 53 · Discontinued | $0.46 | $1.00 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.12 Typical High $2.04 | Professional | 52 · Reduced service | $1.02 | $1.12 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.45 Typical High $0.81 | Professional | 53 · Discontinued | $0.41 | $0.45 | $0.81 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.29 Median $2.45 Typical High $9.33 | Facility | 52 · Reduced service | $1.29 | $2.45 | $9.33 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.52 Median $1.00 Typical High $3.72 | Facility | 53 · Discontinued | $0.52 | $1.00 | $3.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.07 Typical High $1.66 | Professional | 52 · Reduced service | $1.02 | $1.07 | $1.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.43 Typical High $0.68 | Professional | 53 · Discontinued | $0.41 | $0.43 | $0.68 |
Where Texas sits
The same service costs 6.2 times more in Kansas than in Maryland. 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· 8th of 51
$5.01
KS $15.85MD $2.57
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.