How much rates vary
Facilitymedian $24 · 10th to 90th $9 to $56Professionalmedian $5 · 10th to 90th $4 to $9
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 $6.17 Median $13.18 Typical High $48.98 | Facility | None | $6.17 | $13.18 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.75 Typical High $10.96 | Professional | None | $5.50 | $5.75 | $10.96 |
BCBS Texas Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $64.57 | Facility | None | $13.80 | $33.88 | $64.57 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $6.31 | Professional | None | $5.01 | $5.25 | $6.31 |
Christus Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.95 Typical High $37.15 | Facility | None | $8.91 | $19.95 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $14.79 | Professional | None | $5.01 | $6.46 | $14.79 |
Health Smart Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Health Smart Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | None | $13.80 | $13.80 | $14.13 |
Lucent Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Moda Health Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $44.67 | Facility | None | $6.92 | $9.77 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $5.50 Median $5.75 Typical High $10.96 | Professional | None | $5.50 | $5.75 | $10.96 |
Molina Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $7.59 | Professional | None | $6.76 | $7.59 | $7.59 |
Providence Setting Facility Modifier None Typical Low $7.08 Median $13.18 Typical High $36.31 | Facility | None | $7.08 | $13.18 | $36.31 |
Providence Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $13.49 | Professional | None | $5.01 | $6.46 | $13.49 |
United Setting Facility Modifier None Typical Low $3.31 Median $9.12 Typical High $30.20 | Facility | None | $3.31 | $9.12 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $7.41 | Professional | None | $3.80 | $5.13 | $7.41 |
Wellpoint Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.68 | Professional | None | $4.37 | $4.37 | $4.68 |
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 $3.02 Median $6.61 Typical High $24.55 | Facility | 52 · Reduced service | $3.02 | $6.61 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $2.63 Typical High $9.77 | Facility | 53 · Discontinued | $1.23 | $2.63 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $3.02 Typical High $5.50 | Professional | 52 · Reduced service | $2.75 | $3.02 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.20 Typical High $2.19 | Professional | 53 · Discontinued | $1.10 | $1.20 | $2.19 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.47 Median $6.61 Typical High $24.55 | Facility | 52 · Reduced service | $3.47 | $6.61 | $24.55 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.38 Median $2.63 Typical High $9.77 | Facility | 53 · Discontinued | $1.38 | $2.63 | $9.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.82 Typical High $4.47 | Professional | 52 · Reduced service | $2.75 | $2.82 | $4.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.12 Typical High $1.78 | Professional | 53 · Discontinued | $1.10 | $1.12 | $1.78 |
Where Texas sits
The same service costs 5.9 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
$9.12
KS $32.36AL $5.50
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.