How much rates vary
Facilitymedian $49 · 10th to 90th $17 to $93Professionalmedian $9 · 10th to 90th $5 to $16
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 $10.47 Median $21.88 Typical High $85.11 | Facility | None | $10.47 | $21.88 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $20.42 | Professional | None | $10.00 | $10.47 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS Texas Setting Facility Modifier None Typical Low $22.39 Median $58.88 Typical High $112.20 | Facility | None | $22.39 | $58.88 | $112.20 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $9.33 Typical High $11.75 | Professional | None | $5.01 | $9.33 | $11.75 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $60.26 | Facility | None | $16.60 | $36.31 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $25.70 | Professional | None | $8.71 | $10.47 | $25.70 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $117.49 | Facility | None | $10.72 | $17.38 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $17.78 | Professional | None | $10.00 | $11.22 | $17.78 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | None | $12.59 | $14.13 | $14.13 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $21.88 Typical High $60.26 | Facility | None | $11.75 | $21.88 | $60.26 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $21.88 | Professional | None | $8.71 | $10.47 | $21.88 |
United Setting Facility Modifier None Typical Low $6.03 Median $7.08 Typical High $16.98 | Facility | None | $6.03 | $7.08 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $11.75 | Professional | None | $7.08 | $8.32 | $11.75 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.71 | Professional | None | $7.08 | $7.08 | $8.71 |
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 $5.62 Median $12.02 Typical High $45.71 | Facility | 52 · Reduced service | $5.62 | $12.02 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.79 Typical High $18.20 | Facility | 53 · Discontinued | $2.24 | $4.79 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.62 Typical High $8.91 | Professional | 52 · Reduced service | $5.01 | $5.62 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $3.55 | Professional | 53 · Discontinued | $2.04 | $2.24 | $3.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.31 Median $12.02 Typical High $45.71 | Facility | 52 · Reduced service | $6.31 | $12.02 | $45.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $4.90 Typical High $18.20 | Facility | 53 · Discontinued | $2.57 | $4.90 | $18.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.25 Typical High $7.94 | Professional | 52 · Reduced service | $5.01 | $5.25 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $3.16 | Professional | 53 · Discontinued | $2.04 | $2.09 | $3.16 |
Where Texas sits
The same service costs 3.5 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· 12th of 51
$20.89
AK $38.02NY $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.