How much rates vary
Facilitymedian $42 · 10th to 90th $16 to $95Professionalmedian $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 $10.72 Median $22.91 Typical High $85.11 | Facility | None | $10.72 | $22.91 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $19.05 | Professional | None | $9.55 | $10.47 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $9.77 | Professional | None | $7.94 | $9.77 | $9.77 |
BCBS Texas Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $104.71 | Facility | None | $23.99 | $58.88 | $104.71 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.71 Typical High $12.02 | Professional | None | $5.01 | $8.71 | $12.02 |
Christus Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $66.07 | Facility | None | $15.85 | $34.67 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $26.30 | Professional | None | $9.12 | $11.48 | $26.30 |
Health Smart Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Health Smart Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | None | $24.55 | $24.55 | $28.18 |
Lucent Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Moda Health Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $69.18 | Facility | None | $12.02 | $16.60 | $69.18 |
Moda Health Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $19.05 | Professional | None | $9.55 | $10.47 | $19.05 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | None | $11.75 | $13.18 | $13.18 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $66.07 | Facility | None | $12.59 | $23.44 | $66.07 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $23.99 | Professional | None | $9.12 | $11.48 | $23.99 |
United Setting Facility Modifier None Typical Low $5.75 Median $6.61 Typical High $15.85 | Facility | None | $5.75 | $6.61 | $15.85 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $12.88 | Professional | None | $6.61 | $9.12 | $12.88 |
Wellpoint Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | None | $7.76 | $7.76 | $8.13 |
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 $5.37 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $5.37 | $11.48 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $4.57 Typical High $16.98 | Facility | 53 · Discontinued | $2.14 | $4.57 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.25 Typical High $9.55 | Professional | 52 · Reduced service | $4.79 | $5.25 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.09 Typical High $3.80 | Professional | 53 · Discontinued | $1.91 | $2.09 | $3.80 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.03 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $6.03 | $11.48 | $42.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $4.57 Typical High $16.98 | Facility | 53 · Discontinued | $2.40 | $4.57 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.90 Typical High $7.76 | Professional | 52 · Reduced service | $4.79 | $4.90 | $7.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $3.09 | Professional | 53 · Discontinued | $1.91 | $1.95 | $3.09 |
Where Texas sits
The same service costs 3.0 times more in Alaska 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· 26th of 51
$15.85
AK $35.48MD $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.