How much rates vary
Facilitymedian $33 · 10th to 90th $15 to $93Professionalmedian $9 · 10th to 90th $5 to $15
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 $19.95 Typical High $77.62 | Facility | None | $9.55 | $19.95 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.55 Typical High $19.50 | Professional | None | $9.12 | $9.55 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $15.14 | Professional | None | $7.41 | $9.33 | $15.14 |
BCBS Texas Setting Facility Modifier None Typical Low $22.91 Median $57.54 Typical High $102.33 | Facility | None | $22.91 | $57.54 | $102.33 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.32 Typical High $12.30 | Professional | None | $5.01 | $8.32 | $12.30 |
Baylor Scott & White Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $109.65 | Facility | None | $15.14 | $15.14 | $109.65 |
Christus Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $33.11 Typical High $63.10 | Facility | None | $15.49 | $33.11 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $25.12 | Professional | None | $8.71 | $10.96 | $25.12 |
Health Smart Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Health Smart Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $25.12 | Professional | None | $13.80 | $14.45 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $25.12 | Professional | None | $13.80 | $14.45 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $12.30 Median $38.90 Typical High $123.03 | Facility | None | $12.30 | $38.90 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $19.05 | Professional | None | $9.12 | $13.49 | $19.05 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | None | $11.48 | $12.88 | $12.88 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $22.39 Typical High $63.10 | Facility | None | $12.30 | $22.39 | $63.10 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $22.91 | Professional | None | $8.71 | $10.96 | $22.91 |
United Setting Facility Modifier None Typical Low $5.50 Median $6.46 Typical High $15.14 | Facility | None | $5.50 | $6.46 | $15.14 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.71 Typical High $12.59 | Professional | None | $6.46 | $8.71 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | None | $7.59 | $7.59 | $7.94 |
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 $5.13 Median $10.96 Typical High $41.69 | Facility | 52 · Reduced service | $5.13 | $10.96 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $4.37 Typical High $16.60 | Facility | 53 · Discontinued | $2.04 | $4.37 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $5.01 Typical High $9.12 | Professional | 52 · Reduced service | $4.57 | $5.01 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.04 Typical High $3.63 | Professional | 53 · Discontinued | $1.82 | $2.04 | $3.63 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.75 Median $10.96 Typical High $41.69 | Facility | 52 · Reduced service | $5.75 | $10.96 | $41.69 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.37 Typical High $16.60 | Facility | 53 · Discontinued | $2.29 | $4.37 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.79 Typical High $7.41 | Professional | 52 · Reduced service | $4.57 | $4.79 | $7.41 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.91 Typical High $2.95 | Professional | 53 · Discontinued | $1.82 | $1.91 | $2.95 |
Where Texas sits
The same service costs 11.5 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· 24th of 51
$16.22
VT $135MD $11.75
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.