How much rates vary
Facilitymedian $36 · 10th to 90th $13 to $81Professionalmedian $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 $20.42 Typical High $75.86 | Facility | None | $9.55 | $20.42 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $16.98 | Professional | None | $8.51 | $9.33 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | None | $12.02 | $12.02 | $14.13 |
BCBS Texas Setting Facility Modifier None Typical Low $19.50 Median $50.12 Typical High $95.50 | Facility | None | $19.50 | $50.12 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $10.00 | Professional | None | $5.01 | $7.76 | $10.00 |
Christus Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $29.51 Typical High $43.65 | Facility | None | $11.48 | $29.51 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.41 Typical High $21.38 | Professional | None | $6.61 | $7.41 | $21.38 |
Health Smart Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Health Smart Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | None | $15.85 | $15.85 | $18.20 |
Lucent Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Moda Health Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $56.23 | Facility | None | $10.47 | $14.13 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $14.45 | Professional | None | $8.51 | $9.33 | $14.45 |
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 $10.23 Median $16.98 Typical High $43.65 | Facility | None | $10.23 | $16.98 | $43.65 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $7.41 Typical High $17.38 | Professional | None | $6.46 | $7.41 | $17.38 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.89 Typical High $14.13 | Facility | None | $5.13 | $5.89 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.03 Typical High $8.91 | Professional | None | $5.89 | $6.03 | $8.91 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $7.41 | Professional | None | $5.62 | $5.62 | $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 $10.23 Typical High $38.02 | Facility | 52 · Reduced service | $4.79 | $10.23 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $4.07 Typical High $15.49 | Facility | 53 · Discontinued | $1.91 | $4.07 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.68 Typical High $8.51 | Professional | 52 · Reduced service | $4.27 | $4.68 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.86 Typical High $3.39 | Professional | 53 · Discontinued | $1.70 | $1.86 | $3.39 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.37 Median $10.23 Typical High $38.02 | Facility | 52 · Reduced service | $5.37 | $10.23 | $38.02 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $4.07 Typical High $15.49 | Facility | 53 · Discontinued | $2.14 | $4.07 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.37 Typical High $6.92 | Professional | 52 · Reduced service | $4.27 | $4.37 | $6.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.78 Typical High $2.75 | Professional | 53 · Discontinued | $1.70 | $1.78 | $2.75 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 22nd of 51
$14.13
AK $31.62NE $9.33
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.