How much rates vary
Facilitymedian $18 · 10th to 90th $10 to $76Professionalmedian $5 · 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 $5.89 Median $12.02 Typical High $48.98 | Facility | None | $5.89 | $12.02 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $11.48 | Professional | None | $5.75 | $6.31 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $4.79 Typical High $8.13 | Professional | None | $4.57 | $4.79 | $8.13 |
BCBS Texas Setting Facility Modifier None Typical Low $10.47 Median $30.90 Typical High $64.57 | Facility | None | $10.47 | $30.90 | $64.57 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $9.55 | Professional | None | $5.01 | $5.50 | $9.55 |
Christus Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.89 Typical High $39.81 | Facility | None | $9.55 | $20.89 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $16.22 | Professional | None | $5.37 | $6.92 | $16.22 |
Health Smart Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Health Smart Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $15.14 | Professional | None | $8.71 | $9.12 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $16.22 | Professional | None | $8.71 | $9.12 | $16.22 |
Moda Health Setting Facility Modifier None Typical Low $7.59 Median $39.81 Typical High $190.55 | Facility | None | $7.59 | $39.81 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $9.55 | Professional | None | $5.75 | $8.32 | $9.55 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | None | $7.24 | $8.13 | $8.13 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $38.90 | Facility | None | $7.59 | $14.13 | $38.90 |
Providence Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $12.88 | Professional | None | $5.37 | $6.92 | $12.88 |
United Setting Facility Modifier None Typical Low $3.47 Median $3.98 Typical High $9.55 | Facility | None | $3.47 | $3.98 | $9.55 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $7.76 | Professional | None | $3.98 | $5.50 | $7.76 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.01 | Professional | None | $4.68 | $4.68 | $5.01 |
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 $3.24 Median $6.92 Typical High $25.70 | Facility | 52 · Reduced service | $3.24 | $6.92 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $2.75 Typical High $10.47 | Facility | 53 · Discontinued | $1.29 | $2.75 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.16 Typical High $5.75 | Professional | 52 · Reduced service | $2.88 | $3.16 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.26 Typical High $2.29 | Professional | 53 · Discontinued | $1.15 | $1.26 | $2.29 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.63 Median $6.92 Typical High $25.70 | Facility | 52 · Reduced service | $3.63 | $6.92 | $25.70 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $2.75 Typical High $10.47 | Facility | 53 · Discontinued | $1.45 | $2.75 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.95 Typical High $4.68 | Professional | 52 · Reduced service | $2.88 | $2.95 | $4.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.20 Typical High $1.86 | Professional | 53 · Discontinued | $1.15 | $1.20 | $1.86 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $9.55 Median $10.47 Typical High $11.48 | Professional | 90 · Outside lab | $9.55 | $10.47 | $11.48 |
Where Texas sits
The same service costs 5.9 times more in Alaska 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· 21st of 51
$10.96
AK $32.36AL $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.