How much rates vary
Facilitymedian $30 · 10th to 90th $14 to $95Professionalmedian $8 · 10th to 90th $5 to $17
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 $8.71 Median $15.14 Typical High $74.13 | Facility | None | $8.71 | $15.14 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $19.95 | Professional | None | $8.71 | $9.55 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $10.00 | Professional | None | $6.46 | $7.24 | $10.00 |
BCBS Texas Setting Facility Modifier None Typical Low $15.85 Median $48.98 Typical High $95.50 | Facility | None | $15.85 | $48.98 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $14.45 | Professional | None | $5.01 | $7.94 | $14.45 |
Baylor Scott & White Setting Facility Modifier None Typical Low $13.49 Median $14.45 Typical High $75.86 | Facility | None | $13.49 | $14.45 | $75.86 |
Christus Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $60.26 | Facility | None | $14.45 | $31.62 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $26.30 | Professional | None | $8.32 | $11.75 | $26.30 |
Health Smart Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Health Smart Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $27.54 | Professional | None | $12.59 | $18.62 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $27.54 | Professional | None | $12.59 | $18.62 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $10.96 Median $63.10 Typical High $144.54 | Facility | None | $10.96 | $63.10 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $18.20 | Professional | None | $8.71 | $12.30 | $18.20 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $12.30 | Professional | None | $10.96 | $12.30 | $12.30 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $60.26 | Facility | None | $11.75 | $21.38 | $60.26 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $25.12 | Professional | None | $8.32 | $11.48 | $25.12 |
United Setting Facility Modifier None Typical Low $5.25 Median $6.17 Typical High $14.45 | Facility | None | $5.25 | $6.17 | $14.45 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $20.42 | Professional | None | $6.17 | $8.32 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | None | $7.24 | $7.24 | $7.59 |
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 $4.90 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $4.90 | $10.47 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $4.17 Typical High $15.85 | Facility | 53 · Discontinued | $1.95 | $4.17 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.79 Typical High $8.71 | Professional | 52 · Reduced service | $4.37 | $4.79 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.91 Typical High $3.47 | Professional | 53 · Discontinued | $1.74 | $1.91 | $3.47 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.50 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $5.50 | $10.47 | $39.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.17 Typical High $15.85 | Facility | 53 · Discontinued | $2.19 | $4.17 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.47 Typical High $7.08 | Professional | 52 · Reduced service | $4.37 | $4.47 | $7.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.82 Typical High $2.82 | Professional | 53 · Discontinued | $1.74 | $1.82 | $2.82 |
Where Texas sits
The same service costs 7.9 times more in Vermont 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· 30th of 51
$14.45
VT $87.10MD $10.96
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.