How much rates vary
Facilitymedian $65 · 10th to 90th $25 to $141Professionalmedian $14 · 10th to 90th $5 to $23
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 $16.22 Median $35.48 Typical High $131.83 | Facility | None | $16.22 | $35.48 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $30.90 | Professional | None | $14.45 | $16.22 | $30.90 |
BCBS Texas Setting Facility Modifier None Typical Low $36.31 Median $89.13 Typical High $147.91 | Facility | None | $36.31 | $89.13 | $147.91 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $13.49 Typical High $16.98 | Professional | None | $5.01 | $13.49 | $16.98 |
Christus Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $52.48 Typical High $100.00 | Facility | None | $24.55 | $52.48 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $40.74 | Professional | None | $13.80 | $17.38 | $40.74 |
Health Smart Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Health Smart Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None | $37.15 | $37.15 | $47.86 |
Lucent Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $25.70 Typical High $67.61 | Facility | None | $18.62 | $25.70 | $67.61 |
Moda Health Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $30.20 | Professional | None | $14.45 | $16.22 | $30.20 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $20.42 | Professional | None | $18.20 | $20.42 | $20.42 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $36.31 Typical High $100.00 | Facility | None | $19.50 | $36.31 | $100.00 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $36.31 | Professional | None | $13.80 | $17.38 | $36.31 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.23 Typical High $24.55 | Facility | None | $8.71 | $10.23 | $24.55 |
United Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $19.95 | Professional | None | $10.23 | $13.80 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.59 | Professional | None | $12.02 | $12.02 | $12.59 |
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 $8.13 Median $17.38 Typical High $66.07 | Facility | 52 · Reduced service | $8.13 | $17.38 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $7.08 Typical High $26.30 | Facility | 53 · Discontinued | $3.24 | $7.08 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.94 Typical High $14.45 | Professional | 52 · Reduced service | $7.24 | $7.94 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.24 Typical High $5.89 | Professional | 53 · Discontinued | $2.95 | $3.24 | $5.89 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.12 Median $17.38 Typical High $66.07 | Facility | 52 · Reduced service | $9.12 | $17.38 | $66.07 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $7.08 Typical High $26.30 | Facility | 53 · Discontinued | $3.72 | $7.08 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $11.75 | Professional | 52 · Reduced service | $7.24 | $7.59 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.02 Typical High $4.68 | Professional | 53 · Discontinued | $2.95 | $3.02 | $4.68 |
Where Texas sits
The same service costs 4.0 times more in Kansas than in Alabama. 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· 26th of 51
$24.55
KS $60.26AL $15.14
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.