How much rates vary
Facilitymedian $24 · 10th to 90th $12 to $87Professionalmedian $6 · 10th to 90th $5 to $12
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 $7.41 Median $15.14 Typical High $60.26 | Facility | None | $7.41 | $15.14 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $15.85 | Professional | None | $7.08 | $7.76 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $6.17 Typical High $11.75 | Professional | None | $5.62 | $6.17 | $11.75 |
BCBS Texas Setting Facility Modifier None Typical Low $13.18 Median $40.74 Typical High $77.62 | Facility | None | $13.18 | $40.74 | $77.62 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $9.33 | Professional | None | $5.01 | $6.46 | $9.33 |
Baylor Scott & White Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $16.60 | Professional | None | $8.91 | $10.47 | $16.60 |
Christus Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $48.98 | Facility | None | $11.75 | $25.70 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $19.50 | Professional | None | $6.61 | $8.51 | $19.50 |
Health Smart Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Health Smart Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $19.50 | Professional | None | $10.47 | $16.98 | $19.50 |
Lucent Health Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $19.50 | Professional | None | $10.47 | $10.96 | $19.50 |
Moda Health Setting Facility Modifier None Typical Low $9.77 Median $57.54 Typical High $173.78 | Facility | None | $9.77 | $57.54 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $15.85 | Professional | None | $7.08 | $10.00 | $15.85 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | None | $8.91 | $10.00 | $10.00 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $17.38 Typical High $48.98 | Facility | None | $9.33 | $17.38 | $48.98 |
Providence Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $17.78 | Professional | None | $6.61 | $8.51 | $17.78 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.90 Typical High $11.75 | Facility | None | $4.27 | $4.90 | $11.75 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.76 Typical High $10.47 | Professional | None | $4.90 | $6.76 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.17 | Professional | None | $5.75 | $5.75 | $6.17 |
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 $3.98 Median $8.51 Typical High $31.62 | Facility | 52 · Reduced service | $3.98 | $8.51 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $3.39 Typical High $12.88 | Facility | 53 · Discontinued | $1.58 | $3.39 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.89 Typical High $7.08 | Professional | 52 · Reduced service | $3.55 | $3.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $2.82 | Professional | 53 · Discontinued | $1.41 | $1.55 | $2.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.47 Median $8.51 Typical High $31.62 | Facility | 52 · Reduced service | $4.47 | $8.51 | $31.62 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $3.39 Typical High $12.88 | Facility | 53 · Discontinued | $1.78 | $3.39 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.63 Typical High $5.75 | Professional | 52 · Reduced service | $3.55 | $3.63 | $5.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.45 Typical High $2.29 | Professional | 53 · Discontinued | $1.41 | $1.45 | $2.29 |
Where Texas sits
The same service costs 4.5 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· 28th of 51
$12.30
AK $39.81MD $8.91
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.