How much rates vary
Facilitymedian $24 · 10th to 90th $6 to $158Professionalmedian $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 $3.72 Median $4.79 Typical High $30.90 | Facility | None | $3.72 | $4.79 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $8.13 | Professional | None | $3.63 | $4.07 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $6.03 | Professional | None | $2.09 | $3.02 | $6.03 |
BCBS Texas Setting Facility Modifier None Typical Low $6.61 Median $19.50 Typical High $39.81 | Facility | None | $6.61 | $19.50 | $39.81 |
BCBS Texas Setting Professional Modifier None Typical Low $3.31 Median $5.01 Typical High $5.50 | Professional | None | $3.31 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $10.00 Median $30.20 Typical High $66.07 | Facility | None | $10.00 | $30.20 | $66.07 |
Christus Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $13.18 Typical High $25.12 | Facility | None | $6.03 | $13.18 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.90 Typical High $10.72 | Professional | None | $3.31 | $4.90 | $10.72 |
Health Smart Setting Facility Modifier None Typical Low $9.12 Median $10.96 Typical High $27.54 | Facility | None | $9.12 | $10.96 | $27.54 |
Health Smart Setting Professional Modifier None Typical Low $5.25 Median $7.76 Typical High $11.22 | Professional | None | $5.25 | $7.76 | $11.22 |
Lucent Health Setting Professional Modifier None Typical Low $5.25 Median $7.76 Typical High $12.30 | Professional | None | $5.25 | $7.76 | $12.30 |
Moda Health Setting Facility Modifier None Typical Low $7.59 Median $97.72 Typical High $239.88 | Facility | None | $7.59 | $97.72 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $7.24 | Professional | None | $3.63 | $5.13 | $7.24 |
Molina Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $5.01 | Professional | None | $4.47 | $5.01 | $5.01 |
Providence Setting Facility Modifier None Typical Low $4.79 Median $8.71 Typical High $25.12 | Facility | None | $4.79 | $8.71 | $25.12 |
Providence Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $10.47 | Professional | None | $3.31 | $4.68 | $10.47 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.51 Typical High $15.14 | Facility | None | $2.00 | $2.51 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $4.90 | Professional | None | $2.51 | $3.47 | $4.90 |
Wellpoint Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | None | $2.95 | $2.95 | $3.09 |
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 $2.04 Median $4.37 Typical High $16.22 | Facility | 52 · Reduced service | $2.04 | $4.37 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $1.74 Typical High $6.46 | Facility | 53 · Discontinued | $0.81 | $1.74 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $2.00 Typical High $3.63 | Professional | 52 · Reduced service | $1.82 | $2.00 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.79 Typical High $1.45 | Professional | 53 · Discontinued | $0.72 | $0.79 | $1.45 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.29 Median $4.37 Typical High $16.22 | Facility | 52 · Reduced service | $2.29 | $4.37 | $16.22 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.91 Median $1.74 Typical High $6.46 | Facility | 53 · Discontinued | $0.91 | $1.74 | $6.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.86 Typical High $2.95 | Professional | 52 · Reduced service | $1.82 | $1.86 | $2.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.76 Typical High $1.17 | Professional | 53 · Discontinued | $0.72 | $0.76 | $1.17 |
Where Texas sits
The same service costs 14.5 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· 15th of 51
$8.32
MN $64.57MD $4.47
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.