How much rates vary
Facilitymedian $32 · 10th to 90th $6 to $214Professionalmedian $5 · 10th to 90th $4 to $10
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 $4.79 Median $5.89 Typical High $39.81 | Facility | None | $4.79 | $5.89 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.37 Typical High $10.72 | Professional | None | $4.68 | $5.37 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $3.89 Typical High $5.37 | Professional | None | $3.24 | $3.89 | $5.37 |
BCBS Texas Setting Facility Modifier None Typical Low $5.01 Median $19.05 Typical High $48.98 | Facility | None | $5.01 | $19.05 | $48.98 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $6.61 | Professional | None | $5.01 | $5.25 | $6.61 |
Baylor Scott & White Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $10.96 | Professional | None | $5.50 | $6.92 | $10.96 |
Christus Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $32.36 | Facility | None | $7.76 | $16.98 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $13.80 | Professional | None | $4.79 | $8.51 | $13.80 |
Health Smart Setting Facility Modifier None Typical Low $7.76 Median $14.45 Typical High $29.51 | Facility | None | $7.76 | $14.45 | $29.51 |
Health Smart Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $15.49 | Professional | None | $6.61 | $10.23 | $15.49 |
Lucent Health Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $15.49 | Professional | None | $6.61 | $10.00 | $15.49 |
Moda Health Setting Facility Modifier None Typical Low $9.33 Median $95.50 Typical High $616.60 | Facility | None | $9.33 | $95.50 | $616.60 |
Moda Health Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $13.49 | Professional | None | $4.68 | $6.46 | $13.49 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $6.46 Typical High $6.46 | Professional | None | $5.89 | $6.46 | $6.46 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $32.36 | Facility | None | $6.17 | $11.48 | $32.36 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $13.18 | Professional | None | $4.79 | $7.76 | $13.18 |
United Setting Facility Modifier None Typical Low $2.63 Median $3.24 Typical High $7.76 | Facility | None | $2.63 | $3.24 | $7.76 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $6.31 | Professional | None | $3.24 | $4.47 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
12 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 $2.63 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $2.63 | $5.62 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.05 Median $2.24 Typical High $8.51 | Facility | 53 · Discontinued | $1.05 | $2.24 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.57 Typical High $4.68 | Professional | 52 · Reduced service | $2.34 | $2.57 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.02 Typical High $1.86 | Professional | 53 · Discontinued | $0.93 | $1.02 | $1.86 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.09 Median $3.89 Typical High $7.76 | Professional | QW · Waived lab test | $3.09 | $3.89 | $7.76 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.95 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $2.95 | $5.62 | $20.89 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $2.24 Typical High $8.51 | Facility | 53 · Discontinued | $1.17 | $2.24 | $8.51 |
Moda Health Setting Facility Modifier 91 · Repeat lab test Typical Low $51.29 Median $158.49 Typical High $851.14 | Facility | 91 · Repeat lab test | $51.29 | $158.49 | $851.14 |
Moda Health Setting Facility Modifier QW · Waived lab test Typical Low $6.46 Median $74.13 Typical High $218.78 | Facility | QW · Waived lab test | $6.46 | $74.13 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.40 Typical High $3.80 | Professional | 52 · Reduced service | $2.34 | $2.40 | $3.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.95 Typical High $1.51 | Professional | 53 · Discontinued | $0.93 | $0.95 | $1.51 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $4.68 Median $7.76 Typical High $18.62 | Professional | QW · Waived lab test | $4.68 | $7.76 | $18.62 |
Where Texas sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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· 24th of 51
$8.51
MN $83.18NC $6.17
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.