How much rates vary
Facilitymedian $18 · 10th to 90th $10 to $54Professionalmedian $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 $6.46 Median $14.13 Typical High $53.70 | Facility | None | $6.46 | $14.13 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.46 Typical High $11.75 | Professional | None | $5.89 | $6.46 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | None | $6.03 | $6.03 | $6.92 |
BCBS Texas Setting Facility Modifier None Typical Low $14.79 Median $37.15 Typical High $69.18 | Facility | None | $14.79 | $37.15 | $69.18 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $7.08 | Professional | None | $5.01 | $5.50 | $7.08 |
Christus Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.38 Typical High $40.74 | Facility | None | $9.77 | $21.38 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.08 Typical High $16.60 | Professional | None | $5.50 | $7.08 | $16.60 |
Health Smart Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Health Smart Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | None | $15.14 | $15.14 | $15.49 |
Lucent Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Moda Health Setting Facility Modifier None Typical Low $7.41 Median $10.23 Typical High $42.66 | Facility | None | $7.41 | $10.23 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $5.89 Median $6.46 Typical High $9.77 | Professional | None | $5.89 | $6.46 | $9.77 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $8.32 | Professional | None | $7.41 | $8.32 | $8.32 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $40.74 | Facility | None | $7.94 | $14.45 | $40.74 |
Providence Setting Professional Modifier None Typical Low $5.50 Median $7.08 Typical High $14.79 | Professional | None | $5.50 | $7.08 | $14.79 |
United Setting Facility Modifier None Typical Low $3.55 Median $9.77 Typical High $33.11 | Facility | None | $3.55 | $9.77 | $33.11 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $10.47 | Professional | None | $4.17 | $5.62 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | None | $4.90 | $4.90 | $5.13 |
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 $3.31 Median $7.08 Typical High $26.92 | Facility | 52 · Reduced service | $3.31 | $7.08 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $2.82 Typical High $10.72 | Facility | 53 · Discontinued | $1.32 | $2.82 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.24 Typical High $5.89 | Professional | 52 · Reduced service | $2.95 | $3.24 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.29 Typical High $2.34 | Professional | 53 · Discontinued | $1.17 | $1.29 | $2.34 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.72 Median $7.08 Typical High $26.92 | Facility | 52 · Reduced service | $3.72 | $7.08 | $26.92 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.48 Median $2.82 Typical High $10.72 | Facility | 53 · Discontinued | $1.48 | $2.82 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.09 Typical High $4.79 | Professional | 52 · Reduced service | $2.95 | $3.09 | $4.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.23 Typical High $1.91 | Professional | 53 · Discontinued | $1.17 | $1.23 | $1.91 |
Where Texas sits
The same service costs 4.1 times more in Kansas than in Nebraska. 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· 14th of 51
$11.75
KS $26.92NE $6.61
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.