How much rates vary
Facilitymedian $52 · 10th to 90th $27 to $151Professionalmedian $15 · 10th to 90th $5 to $26
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 $17.78 Median $38.90 Typical High $134.90 | Facility | None | $17.78 | $38.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $32.36 | Professional | None | $16.22 | $17.78 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $32.36 | Professional | None | $12.88 | $16.60 | $32.36 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $97.72 Typical High $169.82 | Facility | None | $39.81 | $97.72 | $169.82 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $14.79 Typical High $21.38 | Professional | None | $5.01 | $14.79 | $21.38 |
Christus Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $57.54 Typical High $109.65 | Facility | None | $26.92 | $57.54 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $44.67 | Professional | None | $15.14 | $19.05 | $44.67 |
Health Smart Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Health Smart Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $44.67 | Professional | None | $23.99 | $25.70 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $44.67 | Professional | None | $23.99 | $25.70 | $44.67 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $50.12 Typical High $245.47 | Facility | None | $21.38 | $50.12 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $25.70 | Professional | None | $16.22 | $20.42 | $25.70 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | None | $19.95 | $22.39 | $22.39 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $39.81 Typical High $109.65 | Facility | None | $21.38 | $39.81 | $109.65 |
Providence Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $39.81 | Professional | None | $15.14 | $19.05 | $39.81 |
United Setting Facility Modifier None Typical Low $9.55 Median $11.22 Typical High $26.92 | Facility | None | $9.55 | $11.22 | $26.92 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $21.88 | Professional | None | $11.22 | $15.49 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | None | $13.18 | $13.18 | $13.80 |
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 $8.91 Median $19.50 Typical High $72.44 | Facility | 52 · Reduced service | $8.91 | $19.50 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $7.76 Typical High $28.84 | Facility | 53 · Discontinued | $3.63 | $7.76 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.91 Typical High $16.22 | Professional | 52 · Reduced service | $7.94 | $8.91 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.55 Typical High $6.46 | Professional | 53 · Discontinued | $3.24 | $3.55 | $6.46 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.23 Median $19.50 Typical High $72.44 | Facility | 52 · Reduced service | $10.23 | $19.50 | $72.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $7.76 Typical High $28.84 | Facility | 53 · Discontinued | $4.07 | $7.76 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.32 Typical High $12.88 | Professional | 52 · Reduced service | $8.13 | $8.32 | $12.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $5.25 | Professional | 53 · Discontinued | $3.24 | $3.31 | $5.25 |
Where Texas sits
The same service costs 4.5 times more in South Carolina 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· 8th of 51
$37.15
SC $67.61AL $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.