How much rates vary
Facilitymedian $22 · 10th to 90th $4 to $65Professionalmedian $7 · 10th to 90th $5 to $11
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 $7.76 Median $16.98 Typical High $63.10 | Facility | None | $7.76 | $16.98 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $14.13 | Professional | None | $7.08 | $7.76 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.13 | Professional | None | $7.08 | $7.08 | $8.13 |
BCBS Texas Setting Facility Modifier None Typical Low $17.78 Median $43.65 Typical High $77.62 | Facility | None | $17.78 | $43.65 | $77.62 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $8.13 | Professional | None | $5.01 | $6.46 | $8.13 |
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 $11.75 Median $25.12 Typical High $48.98 | Facility | None | $11.75 | $25.12 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $19.50 | Professional | None | $6.61 | $8.51 | $19.50 |
Health Smart Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Health Smart Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | None | $17.78 | $17.78 | $18.20 |
Lucent Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Moda Health Setting Facility Modifier None Typical Low $8.91 Median $12.59 Typical High $63.10 | Facility | None | $8.91 | $12.59 | $63.10 |
Moda Health Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $12.30 | Professional | None | $7.08 | $7.76 | $12.30 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $9.77 | Professional | None | $8.71 | $9.77 | $9.77 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $16.98 Typical High $48.98 | Facility | None | $9.33 | $16.98 | $48.98 |
Providence Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $17.38 | Professional | None | $6.61 | $8.51 | $17.38 |
United Setting Facility Modifier None Typical Low $4.17 Median $4.90 Typical High $11.75 | Facility | None | $4.17 | $4.90 | $11.75 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.76 Typical High $9.55 | Professional | None | $4.90 | $6.76 | $9.55 |
Wellpoint Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | None | $5.75 | $5.75 | $6.03 |
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 $3.89 Median $8.32 Typical High $31.62 | Facility | 52 · Reduced service | $3.89 | $8.32 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $3.39 Typical High $12.59 | Facility | 53 · Discontinued | $1.55 | $3.39 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $3.89 Typical High $7.08 | Professional | 52 · Reduced service | $3.47 | $3.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $2.82 | Professional | 53 · Discontinued | $1.41 | $1.55 | $2.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.37 Median $8.32 Typical High $31.62 | Facility | 52 · Reduced service | $4.37 | $8.32 | $31.62 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $3.39 Typical High $12.59 | Facility | 53 · Discontinued | $1.78 | $3.39 | $12.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $3.63 Typical High $5.62 | Professional | 52 · Reduced service | $3.47 | $3.63 | $5.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.45 Typical High $2.24 | Professional | 53 · Discontinued | $1.41 | $1.45 | $2.24 |
Where Texas sits
The same service costs 3.2 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· 48th of 51
$8.91
AK $26.30AL $8.32
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.