How much rates vary
Facilitymedian $7 · 10th to 90th $4 to $22Professionalmedian $2 · 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 $2.57 Median $5.62 Typical High $21.38 | Facility | None | $2.57 | $5.62 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.57 Typical High $5.37 | Professional | None | $2.34 | $2.57 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
BCBS Texas Setting Facility Modifier None Typical Low $6.03 Median $14.79 Typical High $28.18 | Facility | None | $6.03 | $14.79 | $28.18 |
BCBS Texas Setting Professional Modifier None Typical Low $2.19 Median $3.80 Typical High $5.50 | Professional | None | $2.19 | $3.80 | $5.50 |
Christus Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.51 Typical High $16.22 | Facility | None | $3.98 | $8.51 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $6.92 | Professional | None | $2.19 | $3.09 | $6.92 |
Health Smart Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Health Smart Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | None | $6.03 | $6.03 | $6.17 |
Lucent Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Moda Health Setting Facility Modifier None Typical Low $2.95 Median $4.37 Typical High $21.38 | Facility | None | $2.95 | $4.37 | $21.38 |
Moda Health Setting Professional Modifier None Typical Low $2.34 Median $2.57 Typical High $5.37 | Professional | None | $2.34 | $2.57 | $5.37 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $3.31 | Professional | None | $2.95 | $3.31 | $3.31 |
Providence Setting Facility Modifier None Typical Low $3.16 Median $5.89 Typical High $16.22 | Facility | None | $3.16 | $5.89 | $16.22 |
Providence Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $6.92 | Professional | None | $2.19 | $3.09 | $6.92 |
United Setting Facility Modifier None Typical Low $1.41 Median $1.66 Typical High $3.98 | Facility | None | $1.41 | $1.66 | $3.98 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.24 Typical High $3.24 | Professional | None | $1.66 | $2.24 | $3.24 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | None | $1.95 | $1.95 | $2.04 |
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 $1.32 Median $2.82 Typical High $10.72 | Facility | 52 · Reduced service | $1.32 | $2.82 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.52 Median $1.12 Typical High $4.27 | Facility | 53 · Discontinued | $0.52 | $1.12 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.29 Typical High $2.34 | Professional | 52 · Reduced service | $1.17 | $1.29 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.52 Typical High $0.95 | Professional | 53 · Discontinued | $0.47 | $0.52 | $0.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.48 Median $2.82 Typical High $10.72 | Facility | 52 · Reduced service | $1.48 | $2.82 | $10.72 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.60 Median $1.12 Typical High $4.27 | Facility | 53 · Discontinued | $0.60 | $1.12 | $4.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.23 Typical High $1.91 | Professional | 52 · Reduced service | $1.17 | $1.23 | $1.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.49 Typical High $0.76 | Professional | 53 · Discontinued | $0.47 | $0.49 | $0.76 |
Where Texas sits
The same service costs 3.4 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· 22nd of 51
$4.37
KS $10.00MD $2.95
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.