How much rates vary
Facilitymedian $9 · 10th to 90th $4 to $56Professionalmedian $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 $2.40 Median $4.79 Typical High $20.42 | Facility | None | $2.40 | $4.79 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.69 Typical High $5.37 | Professional | None | $2.40 | $2.69 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.39 | Professional | None | $2.00 | $2.00 | $3.39 |
BCBS Texas Setting Facility Modifier None Typical Low $4.37 Median $13.18 Typical High $26.92 | Facility | None | $4.37 | $13.18 | $26.92 |
BCBS Texas Setting Professional Modifier None Typical Low $2.19 Median $3.98 Typical High $5.50 | Professional | None | $2.19 | $3.98 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $3.72 Median $3.98 Typical High $31.62 | Facility | None | $3.72 | $3.98 | $31.62 |
Christus Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.71 Typical High $16.22 | Facility | None | $3.98 | $8.71 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.95 Typical High $6.61 | Professional | None | $2.19 | $2.95 | $6.61 |
Health Smart Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Health Smart Setting Professional Modifier None Typical Low $3.47 Median $3.72 Typical High $6.31 | Professional | None | $3.47 | $3.72 | $6.31 |
Lucent Health Setting Professional Modifier None Typical Low $3.47 Median $3.72 Typical High $6.46 | Professional | None | $3.47 | $3.72 | $6.46 |
Moda Health Setting Facility Modifier None Typical Low $3.63 Median $35.48 Typical High $117.49 | Facility | None | $3.63 | $35.48 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $4.90 | Professional | None | $2.40 | $3.47 | $4.90 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.39 | Professional | None | $3.02 | $3.39 | $3.39 |
Providence Setting Facility Modifier None Typical Low $3.16 Median $5.89 Typical High $16.22 | Facility | None | $3.16 | $5.89 | $16.22 |
Providence Setting Professional Modifier None Typical Low $2.19 Median $2.88 Typical High $6.03 | Professional | None | $2.19 | $2.88 | $6.03 |
United Setting Facility Modifier None Typical Low $1.45 Median $1.70 Typical High $3.98 | Facility | None | $1.45 | $1.70 | $3.98 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.29 Typical High $5.62 | Professional | None | $1.70 | $2.29 | $5.62 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | None | $1.95 | $1.95 | $2.04 |
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 $1.35 Median $2.88 Typical High $10.72 | Facility | 52 · Reduced service | $1.35 | $2.88 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.52 Median $1.15 Typical High $4.27 | Facility | 53 · Discontinued | $0.52 | $1.15 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.32 Typical High $2.40 | Professional | 52 · Reduced service | $1.20 | $1.32 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.52 Typical High $0.95 | Professional | 53 · Discontinued | $0.48 | $0.52 | $0.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.51 Median $2.88 Typical High $10.72 | Facility | 52 · Reduced service | $1.51 | $2.88 | $10.72 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.60 Median $1.15 Typical High $4.27 | Facility | 53 · Discontinued | $0.60 | $1.15 | $4.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.23 Typical High $1.95 | Professional | 52 · Reduced service | $1.20 | $1.23 | $1.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.49 Typical High $0.78 | Professional | 53 · Discontinued | $0.48 | $0.49 | $0.78 |
Where Texas sits
The same service costs 13.8 times more in Vermont 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· 15th of 51
$5.01
VT $41.69MD $3.02
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.