How much rates vary
Facilitymedian $52 · 10th to 90th $14 to $93Professionalmedian $7 · 10th to 90th $5 to $21
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 $17.38 Typical High $64.57 | Facility | None | $7.94 | $17.38 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $19.50 | Professional | None | $7.24 | $7.94 | $19.50 |
BCBS Texas Setting Facility Modifier None Typical Low $16.60 Median $43.65 Typical High $95.50 | Facility | None | $16.60 | $43.65 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $20.89 Typical High $21.38 | Professional | None | $5.01 | $20.89 | $21.38 |
Christus Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $81.28 Typical High $117.49 | Facility | None | $5.13 | $81.28 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $53.70 | Professional | None | $15.14 | $19.05 | $53.70 |
Moda Health Setting Facility Modifier None Typical Low $9.12 Median $33.88 Typical High $346.74 | Facility | None | $9.12 | $33.88 | $346.74 |
Moda Health Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $33.88 | Professional | None | $7.24 | $7.94 | $33.88 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $31.62 | Professional | None | $26.30 | $28.18 | $31.62 |
Providence Setting Facility Modifier None Typical Low $9.12 Median $38.02 Typical High $117.49 | Facility | None | $9.12 | $38.02 | $117.49 |
Providence Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $28.84 | Professional | None | $12.02 | $17.78 | $28.84 |
United Setting Facility Modifier None Typical Low $13.49 Median $15.85 Typical High $38.02 | Facility | None | $13.49 | $15.85 | $38.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $15.85 | Professional | None | $5.01 | $5.01 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $19.50 | Professional | None | $4.79 | $4.79 | $19.50 |
9 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 $9.77 | Professional | 52 · Reduced service | $3.63 | $3.98 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $3.89 | Professional | 53 · Discontinued | $1.45 | $1.58 | $3.89 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 90 · Outside lab | $18.20 | $18.20 | $18.20 |
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 $3.80 Typical High $6.31 | Professional | 52 · Reduced service | $3.63 | $3.80 | $6.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.51 Typical High $2.51 | Professional | 53 · Discontinued | $1.45 | $1.51 | $2.51 |
Where Texas sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 19th of 51
$26.30
AK $85.11NJ $8.51
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.