How much rates vary
Facilitymedian $28 · 10th to 90th $12 to $120Professionalmedian $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 $7.59 Median $12.02 Typical High $61.66 | Facility | None | $7.59 | $12.02 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $16.60 | Professional | None | $7.24 | $7.94 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $12.02 | Professional | None | $6.03 | $6.31 | $12.02 |
BCBS Setting Facility Modifier None Typical Low $13.18 Median $40.74 Typical High $79.43 | Facility | None | $13.18 | $40.74 | $79.43 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $9.77 | Professional | None | $5.01 | $6.61 | $9.77 |
Baylor Scott & White Setting Facility Modifier None Typical Low $11.22 Median $12.02 Typical High $269.15 | Facility | None | $11.22 | $12.02 | $269.15 |
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 $12.02 Median $26.30 Typical High $50.12 | Facility | None | $12.02 | $26.30 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $21.38 | Professional | None | $6.76 | $9.55 | $21.38 |
Health Smart Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Health Smart Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $22.91 | Professional | None | $10.23 | $15.14 | $22.91 |
Lucent Health Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $23.99 | Professional | None | $10.23 | $15.14 | $23.99 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $67.61 Typical High $269.15 | Facility | None | $10.72 | $67.61 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $16.22 | Professional | None | $7.24 | $10.47 | $16.22 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $10.23 | Professional | None | $9.12 | $10.23 | $10.23 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $17.78 Typical High $50.12 | Facility | None | $9.77 | $17.78 | $50.12 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $20.89 | Professional | None | $6.76 | $9.55 | $20.89 |
United Setting Facility Modifier None Typical Low $4.37 Median $5.13 Typical High $12.02 | Facility | None | $4.37 | $5.13 | $12.02 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $9.77 | Professional | None | $5.13 | $6.92 | $9.77 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.31 | Professional | None | $6.03 | $6.03 | $6.31 |
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 $4.07 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $4.07 | $8.71 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $3.47 Typical High $13.18 | Facility | 53 · Discontinued | $1.62 | $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 $1.51 Typical High $2.34 | Professional | 53 · Discontinued | $1.45 | $1.51 | $2.34 |
Where Texas sits
The same service costs 8.3 times more in Vermont 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· 31st of 51
$12.02
VT $75.86MD $9.12
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.