How much rates vary
Facilitymedian $28 · 10th to 90th $11 to $87Professionalmedian $9 · 10th to 90th $5 to $16
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 $10.47 Median $22.39 Typical High $79.43 | Facility | None | $10.47 | $22.39 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $18.62 | Professional | None | $9.33 | $10.23 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.72 | Professional | None | $7.76 | $7.76 | $10.72 |
BCBS Texas Setting Facility Modifier None Typical Low $19.05 Median $54.95 Typical High $104.71 | Facility | None | $19.05 | $54.95 | $104.71 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $15.49 | Professional | None | $5.01 | $8.51 | $15.49 |
Baylor Scott & White Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $21.88 | Professional | None | $11.75 | $14.13 | $21.88 |
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 $15.49 Median $33.88 Typical High $64.57 | Facility | None | $15.49 | $33.88 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $26.30 | Professional | None | $8.91 | $11.22 | $26.30 |
Health Smart Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Health Smart Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | None | $23.99 | $23.99 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $117.49 | Facility | None | $11.75 | $19.50 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $16.98 | Professional | None | $9.33 | $11.75 | $16.98 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | None | $11.75 | $13.18 | $13.18 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $22.91 Typical High $64.57 | Facility | None | $12.59 | $22.91 | $64.57 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $23.44 | Professional | None | $8.91 | $11.22 | $23.44 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.61 Typical High $15.49 | Facility | None | $5.62 | $6.61 | $15.49 |
United Setting Professional Modifier None Typical Low $6.61 Median $8.91 Typical High $21.88 | Professional | None | $6.61 | $8.91 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | None | $7.76 | $7.76 | $8.13 |
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 $5.25 Median $11.22 Typical High $42.66 | Facility | 52 · Reduced service | $5.25 | $11.22 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $4.47 Typical High $16.98 | Facility | 53 · Discontinued | $2.09 | $4.47 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | 52 · Reduced service | $4.68 | $5.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.04 Typical High $3.72 | Professional | 53 · Discontinued | $1.86 | $2.04 | $3.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.89 Median $11.22 Typical High $42.66 | Facility | 52 · Reduced service | $5.89 | $11.22 | $42.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $4.47 Typical High $16.98 | Facility | 53 · Discontinued | $2.34 | $4.47 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.79 Typical High $7.59 | Professional | 52 · Reduced service | $4.68 | $4.79 | $7.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.95 Typical High $3.02 | Professional | 53 · Discontinued | $1.86 | $1.95 | $3.02 |
Where Texas sits
The same service costs 4.2 times more in Kansas 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· 36th of 51
$13.80
KS $48.98MD $11.75
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.