How much rates vary
Facilitymedian $41 · 10th to 90th $14 to $89Professionalmedian $9 · 10th to 90th $5 to $14
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 $10.96 Median $23.44 Typical High $87.10 | Facility | None | $10.96 | $23.44 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $16.22 | Professional | None | $9.77 | $10.23 | $16.22 |
BCBS Texas Setting Facility Modifier None Typical Low $20.89 Median $57.54 Typical High $107.15 | Facility | None | $20.89 | $57.54 | $107.15 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $10.96 | Professional | None | $5.01 | $8.91 | $10.96 |
Christus Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $33.88 Typical High $54.95 | Facility | None | $14.13 | $33.88 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $24.55 | Professional | None | $8.13 | $9.55 | $24.55 |
Health Smart Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Health Smart Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | None | $20.42 | $20.42 | $23.44 |
Lucent Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $16.22 Typical High $32.36 | Facility | None | $10.23 | $16.22 | $32.36 |
Moda Health Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $16.22 | Professional | None | $9.77 | $10.23 | $16.22 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $13.49 | Professional | None | $12.02 | $13.49 | $13.49 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $19.95 Typical High $54.95 | Facility | None | $10.47 | $19.95 | $54.95 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $20.89 | Professional | None | $8.13 | $9.55 | $20.89 |
United Setting Facility Modifier None Typical Low $5.89 Median $6.76 Typical High $16.22 | Facility | None | $5.89 | $6.76 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $10.72 | Professional | None | $6.76 | $7.59 | $10.72 |
Wellpoint Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.32 | Professional | None | $6.46 | $6.46 | $8.32 |
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 $11.75 Typical High $43.65 | Facility | 52 · Reduced service | $5.37 | $11.75 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.68 Typical High $17.38 | Facility | 53 · Discontinued | $2.19 | $4.68 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.37 Typical High $8.51 | Professional | 52 · Reduced service | $4.90 | $5.37 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $3.39 | Professional | 53 · Discontinued | $1.95 | $2.14 | $3.39 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.17 Median $11.75 Typical High $43.65 | Facility | 52 · Reduced service | $6.17 | $11.75 | $43.65 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $4.68 Typical High $17.38 | Facility | 53 · Discontinued | $2.45 | $4.68 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.01 Typical High $7.59 | Professional | 52 · Reduced service | $4.90 | $5.01 | $7.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $3.02 | Professional | 53 · Discontinued | $1.95 | $2.00 | $3.02 |
Where Texas sits
The same service costs 3.4 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· 19th of 51
$16.22
AK $36.31NY $10.72
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.