How much rates vary
Facilitymedian $24 · 10th to 90th $11 to $95Professionalmedian $6 · 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 $6.92 Median $14.13 Typical High $56.23 | Facility | None | $6.92 | $14.13 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $15.14 | Professional | None | $6.76 | $7.41 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $6.92 Typical High $11.22 | Professional | None | $3.89 | $6.92 | $11.22 |
BCBS Texas Setting Facility Modifier None Typical Low $13.49 Median $38.90 Typical High $74.13 | Facility | None | $13.49 | $38.90 | $74.13 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $8.51 | Professional | None | $5.01 | $6.17 | $8.51 |
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 $11.22 Median $23.99 Typical High $46.77 | Facility | None | $11.22 | $23.99 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $18.62 | Professional | None | $6.31 | $7.94 | $18.62 |
Health Smart Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Health Smart Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $18.62 | Professional | None | $10.00 | $10.72 | $18.62 |
Lucent Health Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $18.62 | Professional | None | $10.00 | $10.72 | $18.62 |
Moda Health Setting Facility Modifier None Typical Low $10.00 Median $51.29 Typical High $295.12 | Facility | None | $10.00 | $51.29 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | None | $6.76 | $8.51 | $13.49 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | None | $8.32 | $9.33 | $9.33 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $46.77 | Facility | None | $8.91 | $16.60 | $46.77 |
Providence Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $16.22 | Professional | None | $6.31 | $7.94 | $16.22 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.68 Typical High $11.22 | Facility | None | $3.98 | $4.68 | $11.22 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $9.12 | Professional | None | $4.68 | $6.46 | $9.12 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.75 | Professional | None | $5.50 | $5.50 | $5.75 |
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 $3.72 Median $7.94 Typical High $30.20 | Facility | 52 · Reduced service | $3.72 | $7.94 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $3.24 Typical High $12.02 | Facility | 53 · Discontinued | $1.51 | $3.24 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.72 Typical High $6.76 | Professional | 52 · Reduced service | $3.39 | $3.72 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.48 Typical High $2.69 | Professional | 53 · Discontinued | $1.35 | $1.48 | $2.69 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.27 Median $8.13 Typical High $30.20 | Facility | 52 · Reduced service | $4.27 | $8.13 | $30.20 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $3.24 Typical High $12.02 | Facility | 53 · Discontinued | $1.70 | $3.24 | $12.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.47 Typical High $5.37 | Professional | 52 · Reduced service | $3.39 | $3.47 | $5.37 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.38 Typical High $2.19 | Professional | 53 · Discontinued | $1.35 | $1.38 | $2.19 |
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· 30th of 51
$10.96
VT $69.18MD $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.