How much rates vary
Facilitymedian $37 · 10th to 90th $13 to $83Professionalmedian $8 · 10th to 90th $5 to $13
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 $9.55 Median $20.89 Typical High $77.62 | Facility | None | $9.55 | $20.89 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $17.38 | Professional | None | $8.71 | $9.12 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $19.95 Median $51.29 Typical High $95.50 | Facility | None | $19.95 | $51.29 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $9.55 | Professional | None | $5.01 | $7.94 | $9.55 |
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 $58.88 | Facility | None | $14.45 | $31.62 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $23.99 | Professional | None | $8.13 | $10.47 | $23.99 |
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 $22.39 Median $22.39 Typical High $25.70 | Professional | None | $22.39 | $22.39 | $25.70 |
Lucent Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $14.45 Typical High $53.70 | Facility | None | $10.23 | $14.45 | $53.70 |
Moda Health Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $14.79 | Professional | None | $8.71 | $9.12 | $14.79 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | None | $10.72 | $12.02 | $12.02 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $21.38 Typical High $58.88 | Facility | None | $10.47 | $21.38 | $58.88 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $21.88 | Professional | None | $8.13 | $10.47 | $21.88 |
United Setting Facility Modifier None Typical Low $5.25 Median $6.03 Typical High $14.45 | Facility | None | $5.25 | $6.03 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $11.75 | Professional | None | $6.03 | $8.32 | $11.75 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | None | $7.08 | $7.08 | $7.41 |
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 $4.79 Median $10.47 Typical High $38.90 | Facility | 52 · Reduced service | $4.79 | $10.47 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $4.17 Typical High $15.49 | Facility | 53 · Discontinued | $1.95 | $4.17 | $15.49 |
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 $38.90 | Facility | 52 · Reduced service | $5.50 | $10.47 | $38.90 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.17 Typical High $15.49 | Facility | 53 · Discontinued | $2.19 | $4.17 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.47 Typical High $6.76 | Professional | 52 · Reduced service | $4.37 | $4.47 | $6.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.78 Typical High $2.69 | Professional | 53 · Discontinued | $1.74 | $1.78 | $2.69 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in New York. 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· 26th of 51
$14.45
AK $32.36NY $10.00
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.