How much rates vary
Facilitymedian $13 · 10th to 90th $7 to $43Professionalmedian $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 $5.25 Median $11.22 Typical High $42.66 | Facility | None | $5.25 | $11.22 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $8.71 | Professional | None | $4.68 | $5.13 | $8.71 |
BCBS Texas Setting Facility Modifier None Typical Low $10.47 Median $27.54 Typical High $52.48 | Facility | None | $10.47 | $27.54 | $52.48 |
BCBS Texas Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $5.62 | Professional | None | $4.27 | $5.01 | $5.62 |
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 $5.89 Median $15.14 Typical High $24.55 | Facility | None | $5.89 | $15.14 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.07 Typical High $11.48 | Professional | None | $3.31 | $4.07 | $11.48 |
Health Smart Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Health Smart Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.23 | Professional | None | $7.94 | $7.94 | $10.23 |
Lucent Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Moda Health Setting Facility Modifier None Typical Low $5.50 Median $7.76 Typical High $23.99 | Facility | None | $5.50 | $7.76 | $23.99 |
Moda Health Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $7.76 | Professional | None | $4.68 | $5.13 | $7.76 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $6.61 Typical High $6.61 | Professional | None | $5.89 | $6.61 | $6.61 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $9.12 Typical High $24.55 | Facility | None | $5.50 | $9.12 | $24.55 |
Providence Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $9.77 | Professional | None | $3.24 | $4.07 | $9.77 |
United Setting Facility Modifier None Typical Low $2.82 Median $3.31 Typical High $7.76 | Facility | None | $2.82 | $3.31 | $7.76 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $7.24 | Professional | None | $3.02 | $3.31 | $7.24 |
Wellpoint Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.07 | Professional | None | $3.16 | $3.16 | $4.07 |
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 $2.63 Median $5.62 Typical High $21.38 | Facility | 52 · Reduced service | $2.63 | $5.62 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.05 Median $2.24 Typical High $8.51 | Facility | 53 · Discontinued | $1.05 | $2.24 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.57 Typical High $4.37 | Professional | 52 · Reduced service | $2.34 | $2.57 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.02 Typical High $1.74 | Professional | 53 · Discontinued | $0.93 | $1.02 | $1.74 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.95 Median $5.62 Typical High $21.38 | Facility | 52 · Reduced service | $2.95 | $5.62 | $21.38 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $2.24 Typical High $8.51 | Facility | 53 · Discontinued | $1.17 | $2.24 | $8.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.45 Typical High $3.72 | Professional | 52 · Reduced service | $2.34 | $2.45 | $3.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.98 Typical High $1.48 | Professional | 53 · Discontinued | $0.93 | $0.98 | $1.48 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 10th of 51
$9.33
AK $17.78KY $5.13
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.