How much rates vary
Facilitymedian $21 · 10th to 90th $8 to $51Professionalmedian $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 $5.37 Median $11.75 Typical High $43.65 | Facility | None | $5.37 | $11.75 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $9.77 | Professional | None | $4.79 | $5.37 | $9.77 |
BCBS Texas Setting Facility Modifier None Typical Low $11.22 Median $28.84 Typical High $56.23 | Facility | None | $11.22 | $28.84 | $56.23 |
BCBS Texas Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $5.50 | Professional | None | $4.47 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $16.98 Typical High $26.92 | Facility | None | $7.24 | $16.98 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $12.02 | Professional | None | $4.07 | $4.79 | $12.02 |
Health Smart Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Health Smart Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Lucent Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Moda Health Setting Facility Modifier None Typical Low $6.17 Median $9.77 Typical High $56.23 | Facility | None | $6.17 | $9.77 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $8.32 | Professional | None | $4.79 | $5.37 | $8.32 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $6.76 | Professional | None | $6.03 | $6.76 | $6.76 |
Providence Setting Facility Modifier None Typical Low $6.03 Median $10.00 Typical High $26.92 | Facility | None | $6.03 | $10.00 | $26.92 |
Providence Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $10.47 | Professional | None | $4.07 | $4.79 | $10.47 |
United Setting Facility Modifier None Typical Low $2.88 Median $3.39 Typical High $8.13 | Facility | None | $2.88 | $3.39 | $8.13 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.89 Typical High $5.75 | Professional | None | $3.39 | $3.89 | $5.75 |
Wellpoint Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | None | $3.31 | $3.31 | $4.17 |
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 $2.69 Median $5.75 Typical High $21.88 | Facility | 52 · Reduced service | $2.69 | $5.75 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.29 Typical High $8.71 | Facility | 53 · Discontinued | $1.07 | $2.29 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.69 Typical High $4.79 | Professional | 52 · Reduced service | $2.40 | $2.69 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.07 Typical High $1.95 | Professional | 53 · Discontinued | $0.98 | $1.07 | $1.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.02 Median $5.75 Typical High $21.88 | Facility | 52 · Reduced service | $3.02 | $5.75 | $21.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $2.34 Typical High $8.71 | Facility | 53 · Discontinued | $1.23 | $2.34 | $8.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.51 Typical High $3.89 | Professional | 52 · Reduced service | $2.40 | $2.51 | $3.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.58 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.58 |
Where Texas sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 24th of 51
$8.13
KS $22.91NE $5.37
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.