How much rates vary
Facilitymedian $26 · 10th to 90th $14 to $91Professionalmedian $8 · 10th to 90th $5 to $14
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 $9.12 Median $19.05 Typical High $70.79 | Facility | None | $9.12 | $19.05 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $16.60 | Professional | None | $8.32 | $9.12 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $9.55 | Professional | None | $5.75 | $6.92 | $9.55 |
BCBS Texas Setting Facility Modifier None Typical Low $16.98 Median $48.98 Typical High $93.33 | Facility | None | $16.98 | $48.98 | $93.33 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $13.80 | Professional | None | $5.01 | $7.59 | $13.80 |
Baylor Scott & White Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $19.95 | Professional | None | $10.47 | $12.59 | $19.95 |
Christus Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $57.54 | Facility | None | $13.80 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $22.91 | Professional | None | $7.94 | $10.00 | $22.91 |
Health Smart Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Health Smart Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | None | $21.38 | $21.38 | $21.88 |
Lucent Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $10.47 Median $25.70 Typical High $363.08 | Facility | None | $10.47 | $25.70 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $13.80 | Professional | None | $8.32 | $11.22 | $13.80 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | None | $10.47 | $11.75 | $11.75 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $20.42 Typical High $57.54 | Facility | None | $10.96 | $20.42 | $57.54 |
Providence Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $20.89 | Professional | None | $7.94 | $10.00 | $20.89 |
United Setting Facility Modifier None Typical Low $5.01 Median $5.75 Typical High $13.80 | Facility | None | $5.01 | $5.75 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $13.80 | Professional | None | $5.75 | $7.94 | $13.80 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.24 | Professional | None | $6.76 | $6.76 | $7.24 |
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 $4.68 Median $10.00 Typical High $37.15 | Facility | 52 · Reduced service | $4.68 | $10.00 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $3.98 Typical High $15.14 | Facility | 53 · Discontinued | $1.86 | $3.98 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.57 Typical High $8.32 | Professional | 52 · Reduced service | $4.17 | $4.57 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.82 Typical High $3.31 | Professional | 53 · Discontinued | $1.66 | $1.82 | $3.31 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.25 Median $10.00 Typical High $37.15 | Facility | 52 · Reduced service | $5.25 | $10.00 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $3.98 Typical High $15.14 | Facility | 53 · Discontinued | $2.09 | $3.98 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.27 Typical High $6.76 | Professional | 52 · Reduced service | $4.17 | $4.27 | $6.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.74 Typical High $2.69 | Professional | 53 · Discontinued | $1.66 | $1.74 | $2.69 |
Where Texas sits
The same service costs 28.8 times more in Vermont 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· 14th of 51
$18.62
VT $174AL $6.03
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.