How much rates vary
Facilitymedian $48 · 10th to 90th $18 to $112Professionalmedian $10 · 10th to 90th $5 to $17
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 $11.75 Median $25.70 Typical High $97.72 | Facility | None | $11.75 | $25.70 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $21.38 | Professional | None | $10.72 | $11.75 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.96 | Professional | None | $8.91 | $8.91 | $10.96 |
BCBS Texas Setting Facility Modifier None Typical Low $27.54 Median $67.61 Typical High $125.89 | Facility | None | $27.54 | $67.61 | $125.89 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $9.77 Typical High $12.59 | Professional | None | $5.01 | $9.77 | $12.59 |
Christus Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $74.13 | Facility | None | $17.78 | $38.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $29.51 | Professional | None | $10.00 | $12.88 | $29.51 |
Health Smart Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Health Smart Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | None | $27.54 | $27.54 | $28.18 |
Lucent Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $97.72 | Facility | None | $13.49 | $19.50 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $19.95 | Professional | None | $10.72 | $11.75 | $19.95 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | None | $13.49 | $15.14 | $15.14 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $74.13 | Facility | None | $14.45 | $26.30 | $74.13 |
Providence Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $26.92 | Professional | None | $10.00 | $12.88 | $26.92 |
United Setting Facility Modifier None Typical Low $6.46 Median $17.78 Typical High $60.26 | Facility | None | $6.46 | $17.78 | $60.26 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $14.45 | Professional | None | $7.59 | $10.23 | $14.45 |
Wellpoint Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | None | $8.91 | $8.91 | $9.33 |
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 $6.03 Median $12.88 Typical High $48.98 | Facility | 52 · Reduced service | $6.03 | $12.88 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $5.13 Typical High $19.50 | Facility | 53 · Discontinued | $2.40 | $5.13 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.89 Typical High $10.72 | Professional | 52 · Reduced service | $5.37 | $5.89 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.34 Typical High $4.27 | Professional | 53 · Discontinued | $2.14 | $2.34 | $4.27 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $12.88 Typical High $48.98 | Facility | 52 · Reduced service | $6.76 | $12.88 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $5.13 Typical High $19.50 | Facility | 53 · Discontinued | $2.69 | $5.13 | $19.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.50 Typical High $8.71 | Professional | 52 · Reduced service | $5.37 | $5.50 | $8.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.14 | $2.24 | $3.47 |
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· 28th of 51
$17.78
KS $41.69AL $7.59
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.