How much rates vary
Facilitymedian $20 · 10th to 90th $7 to $46Professionalmedian $5 · 10th to 90th $3 to $7
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 $5.01 Median $10.72 Typical High $40.74 | Facility | None | $5.01 | $10.72 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $8.91 | Professional | None | $4.47 | $4.90 | $8.91 |
BCBS Texas Setting Facility Modifier None Typical Low $10.72 Median $27.54 Typical High $51.29 | Facility | None | $10.72 | $27.54 | $51.29 |
BCBS Texas Setting Professional Modifier None Typical Low $4.07 Median $5.01 Typical High $5.50 | Professional | None | $4.07 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $16.22 Typical High $26.92 | Facility | None | $7.08 | $16.22 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $4.79 Typical High $11.48 | Professional | None | $3.89 | $4.79 | $11.48 |
Health Smart Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Health Smart Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | None | $10.23 | $10.23 | $10.47 |
Lucent Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Moda Health Setting Facility Modifier None Typical Low $5.62 Median $7.94 Typical High $37.15 | Facility | None | $5.62 | $7.94 | $37.15 |
Moda Health Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $8.32 | Professional | None | $4.47 | $4.90 | $8.32 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $6.31 Typical High $6.31 | Professional | None | $5.62 | $6.31 | $6.31 |
Providence Setting Facility Modifier None Typical Low $5.62 Median $10.00 Typical High $26.92 | Facility | None | $5.62 | $10.00 | $26.92 |
Providence Setting Professional Modifier None Typical Low $3.89 Median $4.79 Typical High $10.00 | Professional | None | $3.89 | $4.79 | $10.00 |
United Setting Facility Modifier None Typical Low $2.69 Median $7.41 Typical High $15.14 | Facility | None | $2.69 | $7.41 | $15.14 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.89 Typical High $6.31 | Professional | None | $3.16 | $3.89 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.89 | Professional | None | $3.31 | $3.31 | $3.89 |
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 $2.51 Median $5.37 Typical High $20.42 | Facility | 52 · Reduced service | $2.51 | $5.37 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $2.14 Typical High $8.13 | Facility | 53 · Discontinued | $1.00 | $2.14 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.45 Typical High $4.47 | Professional | 52 · Reduced service | $2.24 | $2.45 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.00 Typical High $1.78 | Professional | 53 · Discontinued | $0.89 | $1.00 | $1.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.82 Median $5.37 Typical High $20.42 | Facility | 52 · Reduced service | $2.82 | $5.37 | $20.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $2.14 Typical High $8.13 | Facility | 53 · Discontinued | $1.12 | $2.14 | $8.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.34 Typical High $3.63 | Professional | 52 · Reduced service | $2.24 | $2.34 | $3.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.93 Typical High $1.45 | Professional | 53 · Discontinued | $0.89 | $0.93 | $1.45 |
Where Texas sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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· 24th of 51
$7.94
KS $18.20NJ $5.25
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.