How much rates vary
Facilitymedian $9 · 10th to 90th $4 to $79Professionalmedian $3 · 10th to 90th $2 to $5
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 $2.82 Median $5.89 Typical High $22.91 | Facility | None | $2.82 | $5.89 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.69 Typical High $5.13 | Professional | None | $2.57 | $2.69 | $5.13 |
BCBS Texas Setting Facility Modifier None Typical Low $2.75 Median $12.02 Typical High $28.18 | Facility | None | $2.75 | $12.02 | $28.18 |
BCBS Texas Setting Professional Modifier None Typical Low $2.75 Median $5.01 Typical High $5.50 | Professional | None | $2.75 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $9.33 Typical High $16.98 | Facility | None | $4.27 | $9.33 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $7.08 | Professional | None | $2.40 | $3.09 | $7.08 |
Health Smart Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Health Smart Setting Professional Modifier None Typical Low $3.55 Median $5.50 Typical High $9.77 | Professional | None | $3.55 | $5.50 | $9.77 |
Lucent Health Setting Professional Modifier None Typical Low $3.55 Median $5.37 Typical High $9.77 | Professional | None | $3.55 | $5.37 | $9.77 |
Moda Health Setting Facility Modifier None Typical Low $4.17 Median $60.26 Typical High $131.83 | Facility | None | $4.17 | $60.26 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $5.01 | Professional | None | $2.57 | $2.82 | $5.01 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $3.63 | Professional | None | $3.24 | $3.63 | $3.63 |
Providence Setting Facility Modifier None Typical Low $3.39 Median $6.31 Typical High $16.98 | Facility | None | $3.39 | $6.31 | $16.98 |
Providence Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $5.89 | Professional | None | $2.40 | $3.09 | $5.89 |
United Setting Facility Modifier None Typical Low $1.55 Median $4.27 Typical High $10.47 | Facility | None | $1.55 | $4.27 | $10.47 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.45 Typical High $5.89 | Professional | None | $1.82 | $2.45 | $5.89 |
Wellpoint Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.24 | Professional | None | $2.09 | $2.09 | $2.24 |
9 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 $1.45 Median $3.09 Typical High $11.48 | Facility | 52 · Reduced service | $1.45 | $3.09 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.56 Median $1.23 Typical High $4.68 | Facility | 53 · Discontinued | $0.56 | $1.23 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.41 Typical High $2.57 | Professional | 52 · Reduced service | $1.29 | $1.41 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.56 Typical High $1.02 | Professional | 53 · Discontinued | $0.51 | $0.56 | $1.02 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.62 Median $3.09 Typical High $11.48 | Facility | 52 · Reduced service | $1.62 | $3.09 | $11.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.23 Typical High $4.68 | Facility | 53 · Discontinued | $0.65 | $1.23 | $4.68 |
Moda Health Setting Facility Modifier 91 · Repeat lab test Typical Low $66.07 Median $95.50 Typical High $158.49 | Facility | 91 · Repeat lab test | $66.07 | $95.50 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.32 Typical High $2.09 | Professional | 52 · Reduced service | $1.29 | $1.32 | $2.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.52 Typical High $0.83 | Professional | 53 · Discontinued | $0.51 | $0.52 | $0.83 |
Where Texas sits
The same service costs 3.6 times more in Kansas than in Maryland. 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· 20th of 51
$5.01
KS $11.75MD $3.24
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.