How much rates vary
Facilitymedian $38 · 10th to 90th $19 to $117Professionalmedian $11 · 10th to 90th $5 to $19
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 $12.59 Median $26.30 Typical High $97.72 | Facility | None | $12.59 | $26.30 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $22.91 | Professional | None | $11.48 | $12.59 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.55 Typical High $11.75 | Professional | None | $9.12 | $9.55 | $11.75 |
BCBS Texas Setting Facility Modifier None Typical Low $28.84 Median $70.79 Typical High $131.83 | Facility | None | $28.84 | $70.79 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.47 Typical High $13.18 | Professional | None | $5.01 | $10.47 | $13.18 |
Christus Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $41.69 Typical High $79.43 | Facility | None | $19.05 | $41.69 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $31.62 | Professional | None | $10.96 | $13.80 | $31.62 |
Health Smart Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Health Smart Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | None | $29.51 | $29.51 | $30.20 |
Lucent Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Moda Health Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $229.09 | Facility | None | $14.45 | $23.99 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $22.39 | Professional | None | $11.48 | $12.88 | $22.39 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | None | $14.13 | $15.85 | $15.85 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $28.18 Typical High $79.43 | Facility | None | $15.14 | $28.18 | $79.43 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $28.84 | Professional | None | $10.96 | $13.80 | $28.84 |
United Setting Facility Modifier None Typical Low $6.92 Median $19.05 Typical High $60.26 | Facility | None | $6.92 | $19.05 | $60.26 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $15.49 | Professional | None | $7.94 | $10.96 | $15.49 |
Wellpoint Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | None | $9.33 | $9.33 | $9.77 |
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 $6.31 Median $13.80 Typical High $51.29 | Facility | 52 · Reduced service | $6.31 | $13.80 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $5.50 Typical High $20.42 | Facility | 53 · Discontinued | $2.51 | $5.50 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $6.31 Typical High $11.48 | Professional | 52 · Reduced service | $5.75 | $6.31 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.51 Typical High $4.57 | Professional | 53 · Discontinued | $2.29 | $2.51 | $4.57 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.24 Median $13.80 Typical High $51.29 | Facility | 52 · Reduced service | $7.24 | $13.80 | $51.29 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $5.50 Typical High $20.42 | Facility | 53 · Discontinued | $2.88 | $5.50 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.89 Typical High $9.33 | Professional | 52 · Reduced service | $5.75 | $5.89 | $9.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $3.72 | Professional | 53 · Discontinued | $2.29 | $2.34 | $3.72 |
Where Texas sits
The same service costs 5.5 times more in Kansas 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· 27th of 51
$19.05
KS $43.65AL $7.94
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.