How much rates vary
Facilitymedian $9 · 10th to 90th $4 to $30Professionalmedian $3 · 10th to 90th $2 to $5
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 $2.88 Median $6.03 Typical High $23.99 | Facility | None | $2.88 | $6.03 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $2.88 Typical High $5.25 | Professional | None | $2.63 | $2.88 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.69 Typical High $3.09 | Professional | None | $2.09 | $2.69 | $3.09 |
BCBS Texas Setting Facility Modifier None Typical Low $6.61 Median $16.60 Typical High $30.90 | Facility | None | $6.61 | $16.60 | $30.90 |
BCBS Texas Setting Professional Modifier None Typical Low $2.40 Median $4.37 Typical High $5.50 | Professional | None | $2.40 | $4.37 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $4.17 Median $6.31 Typical High $28.84 | Facility | None | $4.17 | $6.31 | $28.84 |
Christus Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $9.55 Typical High $18.20 | Facility | None | $4.47 | $9.55 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $7.24 | Professional | None | $2.57 | $3.09 | $7.24 |
Health Smart Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Health Smart Setting Professional Modifier None Typical Low $3.98 Median $4.27 Typical High $7.59 | Professional | None | $3.98 | $4.27 | $7.59 |
Lucent Health Setting Professional Modifier None Typical Low $3.98 Median $4.27 Typical High $7.59 | Professional | None | $3.98 | $4.27 | $7.59 |
Moda Health Setting Facility Modifier None Typical Low $3.47 Median $8.13 Typical High $141.25 | Facility | None | $3.47 | $8.13 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $2.63 Median $3.80 Typical High $5.25 | Professional | None | $2.63 | $3.80 | $5.25 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $3.72 Typical High $3.72 | Professional | None | $3.31 | $3.72 | $3.72 |
Providence Setting Facility Modifier None Typical Low $3.55 Median $6.46 Typical High $18.20 | Facility | None | $3.55 | $6.46 | $18.20 |
Providence Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $6.61 | Professional | None | $2.57 | $3.09 | $6.61 |
United Setting Facility Modifier None Typical Low $1.58 Median $4.37 Typical High $15.14 | Facility | None | $1.58 | $4.37 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.51 Typical High $3.63 | Professional | None | $1.86 | $2.51 | $3.63 |
Wellpoint Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.29 | Professional | None | $2.19 | $2.19 | $2.29 |
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 $1.48 Median $3.16 Typical High $12.02 | Facility | 52 · Reduced service | $1.48 | $3.16 | $12.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.59 Median $1.26 Typical High $4.79 | Facility | 53 · Discontinued | $0.59 | $1.26 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.45 Typical High $2.63 | Professional | 52 · Reduced service | $1.32 | $1.45 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.58 Typical High $1.07 | Professional | 53 · Discontinued | $0.52 | $0.58 | $1.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.66 Median $3.16 Typical High $12.02 | Facility | 52 · Reduced service | $1.66 | $3.16 | $12.02 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.66 Median $1.26 Typical High $4.79 | Facility | 53 · Discontinued | $0.66 | $1.26 | $4.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.38 Typical High $2.14 | Professional | 52 · Reduced service | $1.32 | $1.38 | $2.14 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.55 Typical High $0.85 | Professional | 53 · Discontinued | $0.52 | $0.55 | $0.85 |
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· 13th of 51
$6.17
KS $13.80MD $3.31
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.