How much rates vary
Facilitymedian $91 · 10th to 90th $23 to $132Professionalmedian $13 · 10th to 90th $5 to $21
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 $15.14 Median $29.51 Typical High $117.49 | Facility | None | $15.14 | $29.51 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $27.54 | Professional | None | $13.80 | $14.79 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | None | $14.13 | $14.13 | $15.85 |
BCBS Texas Setting Facility Modifier None Typical Low $28.84 Median $83.18 Typical High $154.88 | Facility | None | $28.84 | $83.18 | $154.88 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $12.59 Typical High $15.49 | Professional | None | $5.01 | $12.59 | $15.49 |
Baylor Scott & White Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $58.88 | Facility | None | $22.91 | $22.91 | $58.88 |
Christus Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $50.12 Typical High $95.50 | Facility | None | $22.91 | $50.12 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $38.02 | Professional | None | $13.18 | $16.60 | $38.02 |
Health Smart Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Health Smart Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | None | $35.48 | $35.48 | $36.31 |
Lucent Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Moda Health Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $213.80 | Facility | None | $16.60 | $27.54 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $22.91 | Professional | None | $13.80 | $16.60 | $22.91 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | None | $17.38 | $19.05 | $19.05 |
Providence Setting Facility Modifier None Typical Low $16.60 Median $33.88 Typical High $95.50 | Facility | None | $16.60 | $33.88 | $95.50 |
Providence Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $34.67 | Professional | None | $13.18 | $16.60 | $34.67 |
United Setting Facility Modifier None Typical Low $8.32 Median $9.55 Typical High $22.91 | Facility | None | $8.32 | $9.55 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $18.20 | Professional | None | $9.55 | $13.18 | $18.20 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | None | $11.22 | $11.22 | $11.75 |
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 $7.59 Median $16.60 Typical High $61.66 | Facility | 52 · Reduced service | $7.59 | $16.60 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $6.61 Typical High $24.55 | Facility | 53 · Discontinued | $3.02 | $6.61 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.24 Typical High $13.80 | Professional | 52 · Reduced service | $6.92 | $7.24 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.88 Typical High $5.50 | Professional | 53 · Discontinued | $2.75 | $2.88 | $5.50 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.71 Median $16.60 Typical High $61.66 | Facility | 52 · Reduced service | $8.71 | $16.60 | $61.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.61 Typical High $24.55 | Facility | 53 · Discontinued | $3.47 | $6.61 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.08 Typical High $10.72 | Professional | 52 · Reduced service | $6.92 | $7.08 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $4.27 | Professional | 53 · Discontinued | $2.75 | $2.82 | $4.27 |
Where Texas sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 11th of 51
$30.90
AK $63.10AL $9.55
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.