How much rates vary
Facilitymedian $21 · 10th to 90th $12 to $71Professionalmedian $7 · 10th to 90th $5 to $13
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 $7.94 Median $17.38 Typical High $64.57 | Facility | None | $7.94 | $17.38 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $14.79 | Professional | None | $7.24 | $7.94 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $12.02 | Professional | None | $5.75 | $7.41 | $12.02 |
BCBS Texas Setting Facility Modifier None Typical Low $13.18 Median $38.90 Typical High $79.43 | Facility | None | $13.18 | $38.90 | $79.43 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $12.88 | Professional | None | $5.01 | $6.61 | $12.88 |
Christus Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $26.30 Typical High $37.15 | Facility | None | $7.94 | $26.30 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $16.98 | Professional | None | $4.79 | $6.17 | $16.98 |
Health Smart Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $19.95 | Professional | None | $10.23 | $11.48 | $19.95 |
Lucent Health Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $19.95 | Professional | None | $10.23 | $11.48 | $19.95 |
Moda Health Setting Facility Modifier None Typical Low $9.12 Median $17.78 Typical High $173.78 | Facility | None | $9.12 | $17.78 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $13.18 | Professional | None | $6.31 | $7.94 | $13.18 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $9.12 Typical High $10.23 | Professional | None | $8.51 | $9.12 | $10.23 |
Providence Setting Facility Modifier None Typical Low $8.71 Median $12.88 Typical High $37.15 | Facility | None | $8.71 | $12.88 | $37.15 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $12.59 | Professional | None | $4.79 | $6.17 | $12.59 |
United Setting Facility Modifier None Typical Low $4.37 Median $5.01 Typical High $12.02 | Facility | None | $4.37 | $5.01 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.24 | Professional | None | $5.01 | $5.01 | $7.24 |
Wellpoint Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Professional | None | $4.79 | $4.79 | $6.31 |
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 $3.98 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $3.98 | $8.71 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $3.47 Typical High $13.18 | Facility | 53 · Discontinued | $1.58 | $3.47 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.98 Typical High $7.24 | Professional | 52 · Reduced service | $3.63 | $3.98 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $2.88 | Professional | 53 · Discontinued | $1.45 | $1.58 | $2.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.57 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $4.57 | $8.71 | $32.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.47 Typical High $13.18 | Facility | 53 · Discontinued | $1.82 | $3.47 | $13.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.72 Typical High $5.89 | Professional | 52 · Reduced service | $3.63 | $3.72 | $5.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.48 Typical High $2.34 | Professional | 53 · Discontinued | $1.45 | $1.48 | $2.34 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $12.02 Median $13.18 Typical High $14.45 | Professional | 90 · Outside lab | $12.02 | $13.18 | $14.45 |
Where Texas sits
The same service costs 4.0 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· 22nd of 51
$12.02
AK $33.11KY $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.