How much rates vary
Facilitymedian $30 · 10th to 90th $11 to $76Professionalmedian $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 $14.45 Typical High $57.54 | Facility | None | $7.41 | $14.45 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $15.14 | Professional | None | $6.76 | $7.41 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $11.22 | Professional | None | $5.37 | $6.92 | $11.22 |
BCBS Texas Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $75.86 | Facility | None | $13.80 | $39.81 | $75.86 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $11.22 | Professional | None | $5.01 | $6.17 | $11.22 |
Christus Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $24.55 Typical High $46.77 | Facility | None | $11.22 | $24.55 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $19.05 | Professional | None | $6.46 | $8.13 | $19.05 |
Health Smart Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Health Smart Setting Professional Modifier None Typical Low $10.23 Median $10.72 Typical High $18.62 | Professional | None | $10.23 | $10.72 | $18.62 |
Lucent Health Setting Professional Modifier None Typical Low $10.23 Median $10.72 Typical High $18.62 | Professional | None | $10.23 | $10.72 | $18.62 |
Moda Health Setting Facility Modifier None Typical Low $8.91 Median $47.86 Typical High $131.83 | Facility | None | $8.91 | $47.86 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | None | $6.76 | $8.51 | $13.49 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $9.55 | Professional | None | $8.51 | $9.55 | $9.55 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $46.77 | Facility | None | $8.91 | $16.60 | $46.77 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $16.98 | Professional | None | $6.46 | $8.13 | $16.98 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.68 Typical High $11.22 | Facility | None | $4.07 | $4.68 | $11.22 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $10.47 | Professional | None | $4.68 | $6.46 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.89 | Professional | None | $5.62 | $5.62 | $5.89 |
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 $3.80 Median $8.13 Typical High $30.20 | Facility | 52 · Reduced service | $3.80 | $8.13 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $3.24 Typical High $12.30 | Facility | 53 · Discontinued | $1.51 | $3.24 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.72 Typical High $6.76 | Professional | 52 · Reduced service | $3.39 | $3.72 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.48 Typical High $2.69 | Professional | 53 · Discontinued | $1.35 | $1.48 | $2.69 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.27 Median $8.13 Typical High $30.20 | Facility | 52 · Reduced service | $4.27 | $8.13 | $30.20 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $3.24 Typical High $12.30 | Facility | 53 · Discontinued | $1.70 | $3.24 | $12.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.47 Typical High $5.50 | Professional | 52 · Reduced service | $3.39 | $3.47 | $5.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.41 Typical High $2.19 | Professional | 53 · Discontinued | $1.35 | $1.41 | $2.19 |
Where Texas sits
The same service costs 11.7 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· 14th of 51
$15.14
VT $100MD $8.51
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.