How much rates vary
Facilitymedian $35 · 10th to 90th $12 to $66Professionalmedian $7 · 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 $7.94 Median $16.60 Typical High $61.66 | Facility | None | $7.94 | $16.60 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $14.45 | Professional | None | $7.24 | $7.94 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.59 | Professional | None | $7.41 | $7.41 | $7.59 |
BCBS Texas Setting Facility Modifier None Typical Low $16.60 Median $42.66 Typical High $81.28 | Facility | None | $16.60 | $42.66 | $81.28 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $8.71 | Professional | None | $5.01 | $6.61 | $8.71 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $26.30 Typical High $37.15 | Facility | None | $12.30 | $26.30 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $16.98 | Professional | None | $4.79 | $6.17 | $16.98 |
Moda Health Setting Facility Modifier None Typical Low $8.51 Median $12.02 Typical High $64.57 | Facility | None | $8.51 | $12.02 | $64.57 |
Moda Health Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $12.02 | Professional | None | $7.24 | $7.59 | $12.02 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $9.12 Typical High $10.23 | Professional | None | $8.51 | $9.12 | $10.23 |
Providence Setting Facility Modifier None Typical Low $9.12 Median $13.80 Typical High $37.15 | Facility | None | $9.12 | $13.80 | $37.15 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $12.59 | Professional | None | $4.79 | $6.17 | $12.59 |
United Setting Facility Modifier None Typical Low $4.37 Median $5.01 Typical High $12.02 | Facility | None | $4.37 | $5.01 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.24 | Professional | None | $5.01 | $5.01 | $7.24 |
Wellpoint Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Professional | None | $4.79 | $4.79 | $6.31 |
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 $3.98 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $3.98 | $8.71 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $3.47 Typical High $13.18 | Facility | 53 · Discontinued | $1.58 | $3.47 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.98 Typical High $7.24 | Professional | 52 · Reduced service | $3.63 | $3.98 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $2.88 | Professional | 53 · Discontinued | $1.45 | $1.58 | $2.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.57 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $4.57 | $8.71 | $32.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.47 Typical High $13.18 | Facility | 53 · Discontinued | $1.82 | $3.47 | $13.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.72 Typical High $5.89 | Professional | 52 · Reduced service | $3.63 | $3.72 | $5.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.48 Typical High $2.34 | Professional | 53 · Discontinued | $1.45 | $1.48 | $2.34 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 13th of 51
$14.45
AK $26.92WV $7.24
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.