How much rates vary
Facilitymedian $31 · 10th to 90th $10 to $257Professionalmedian $6 · 10th to 90th $5 to $10
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 $6.31 Median $9.33 Typical High $51.29 | Facility | None | $6.31 | $9.33 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $12.30 | Professional | None | $5.75 | $6.61 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.37 Typical High $10.23 | Professional | None | $5.13 | $5.37 | $10.23 |
BCBS Texas Setting Facility Modifier None Typical Low $11.22 Median $33.11 Typical High $67.61 | Facility | None | $11.22 | $33.11 | $67.61 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $7.08 | Professional | None | $5.01 | $5.62 | $7.08 |
Baylor Scott & White Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $112.20 | Facility | None | $9.33 | $13.80 | $112.20 |
Christus Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $21.88 Typical High $42.66 | Facility | None | $10.23 | $21.88 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $17.38 | Professional | None | $5.75 | $7.94 | $17.38 |
Health Smart Setting Facility Modifier None Typical Low $15.49 Median $19.05 Typical High $48.98 | Facility | None | $15.49 | $19.05 | $48.98 |
Health Smart Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $19.05 | Professional | None | $8.51 | $12.88 | $19.05 |
Lucent Health Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $20.42 | Professional | None | $8.51 | $12.88 | $20.42 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $147.91 Typical High $436.52 | Facility | None | $10.23 | $147.91 | $436.52 |
Moda Health Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $10.23 | Professional | None | $6.17 | $8.51 | $10.23 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | None | $7.59 | $8.51 | $8.51 |
Providence Setting Facility Modifier None Typical Low $8.13 Median $15.14 Typical High $42.66 | Facility | None | $8.13 | $15.14 | $42.66 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $17.38 | Professional | None | $5.75 | $7.94 | $17.38 |
United Setting Facility Modifier None Typical Low $3.63 Median $4.27 Typical High $10.23 | Facility | None | $3.63 | $4.27 | $10.23 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $8.32 | Professional | None | $4.27 | $5.89 | $8.32 |
Wellpoint Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | None | $5.01 | $5.01 | $5.25 |
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 $3.39 Median $7.41 Typical High $27.54 | Facility | 52 · Reduced service | $3.39 | $7.41 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.35 Median $2.95 Typical High $10.96 | Facility | 53 · Discontinued | $1.35 | $2.95 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.39 Typical High $6.17 | Professional | 52 · Reduced service | $3.09 | $3.39 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.35 Typical High $2.45 | Professional | 53 · Discontinued | $1.23 | $1.35 | $2.45 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.89 Median $7.41 Typical High $27.54 | Facility | 52 · Reduced service | $3.89 | $7.41 | $27.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $2.95 Typical High $10.96 | Facility | 53 · Discontinued | $1.55 | $2.95 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.16 Typical High $4.90 | Professional | 52 · Reduced service | $3.09 | $3.16 | $4.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.26 Typical High $1.95 | Professional | 53 · Discontinued | $1.23 | $1.26 | $1.95 |
Where Texas sits
The same service costs 26.9 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· 16th of 51
$13.18
VT $148AL $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.