How much rates vary
Facilitymedian $14 · 10th to 90th $3 to $120Professionalmedian $4 · 10th to 90th $3 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 $2.63 Median $3.39 Typical High $21.88 | Facility | None | $2.63 | $3.39 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.16 Typical High $6.03 | Professional | None | $2.57 | $3.16 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.91 Typical High $4.27 | Professional | None | $1.51 | $1.91 | $4.27 |
BCBS Texas Setting Facility Modifier None Typical Low $2.82 Median $10.23 Typical High $26.92 | Facility | None | $2.82 | $10.23 | $26.92 |
BCBS Texas Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $5.50 | Professional | None | $2.82 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $7.08 Median $19.95 Typical High $64.57 | Facility | None | $7.08 | $19.95 | $64.57 |
Christus Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $9.12 Typical High $16.22 | Facility | None | $4.17 | $9.12 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $4.37 Typical High $7.59 | Professional | None | $2.45 | $4.37 | $7.59 |
Health Smart Setting Facility Modifier None Typical Low $6.03 Median $7.08 Typical High $22.91 | Facility | None | $6.03 | $7.08 | $22.91 |
Health Smart Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $8.51 | Professional | None | $3.72 | $5.37 | $8.51 |
Lucent Health Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $8.51 | Professional | None | $3.72 | $5.37 | $8.51 |
Moda Health Setting Facility Modifier None Typical Low $5.50 Median $79.43 Typical High $208.93 | Facility | None | $5.50 | $79.43 | $208.93 |
Moda Health Setting Professional Modifier None Typical Low $2.57 Median $3.47 Typical High $5.89 | Professional | None | $2.57 | $3.47 | $5.89 |
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 $5.75 Typical High $16.22 | Facility | None | $3.39 | $5.75 | $16.22 |
Providence Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $7.41 | Professional | None | $2.45 | $4.27 | $7.41 |
United Setting Facility Modifier None Typical Low $1.26 Median $1.82 Typical High $10.47 | Facility | None | $1.26 | $1.82 | $10.47 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.88 Typical High $4.27 | Professional | None | $2.14 | $2.88 | $4.27 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
11 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 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $2.14 Median $2.45 Typical High $4.27 | Professional | QW · Waived lab test | $2.14 | $2.45 | $4.27 |
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 QW · Waived lab test Typical Low $5.50 Median $69.18 Typical High $158.49 | Facility | QW · Waived lab test | $5.50 | $69.18 | $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 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $2.57 Median $3.63 Typical High $8.32 | Professional | QW · Waived lab test | $2.57 | $3.63 | $8.32 |
Where Texas sits
The same service costs 14.8 times more in Minnesota 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· 17th of 51
$5.50
MN $51.29MD $3.47
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.