How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $83Professionalmedian $7 · 10th to 90th $5 to $13
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 $8.13 Median $16.22 Typical High $66.07 | Facility | None | $8.13 | $16.22 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $18.20 | Professional | None | $7.76 | $8.71 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $15.49 | Professional | None | $4.57 | $7.94 | $15.49 |
BCBS Texas Setting Facility Modifier None Typical Low $19.95 Median $48.98 Typical High $87.10 | Facility | None | $19.95 | $48.98 | $87.10 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $10.47 | Professional | None | $5.01 | $7.24 | $10.47 |
Christus Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.18 Typical High $54.95 | Facility | None | $13.18 | $28.18 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $21.88 | Professional | None | $7.41 | $9.33 | $21.88 |
Health Smart Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Health Smart Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $21.38 | Professional | None | $11.75 | $12.30 | $21.38 |
Lucent Health Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $21.38 | Professional | None | $11.75 | $12.30 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $10.00 Median $45.71 Typical High $229.09 | Facility | None | $10.00 | $45.71 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $15.49 | Professional | None | $7.76 | $10.96 | $15.49 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | None | $9.77 | $10.96 | $10.96 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $54.95 | Facility | None | $10.47 | $19.50 | $54.95 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $19.50 | Professional | None | $7.41 | $9.33 | $19.50 |
United Setting Facility Modifier None Typical Low $4.68 Median $5.50 Typical High $13.18 | Facility | None | $4.68 | $5.50 | $13.18 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.41 Typical High $10.72 | Professional | None | $5.50 | $7.41 | $10.72 |
Wellpoint Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.76 | Professional | None | $6.46 | $6.46 | $6.76 |
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 $4.37 Median $9.33 Typical High $35.48 | Facility | 52 · Reduced service | $4.37 | $9.33 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $3.80 Typical High $14.13 | Facility | 53 · Discontinued | $1.74 | $3.80 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $4.27 Typical High $7.76 | Professional | 52 · Reduced service | $3.89 | $4.27 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.74 Typical High $3.16 | Professional | 53 · Discontinued | $1.58 | $1.74 | $3.16 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.90 Median $9.33 Typical High $35.48 | Facility | 52 · Reduced service | $4.90 | $9.33 | $35.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $3.80 Typical High $14.13 | Facility | 53 · Discontinued | $1.95 | $3.80 | $14.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $4.07 Typical High $6.31 | Professional | 52 · Reduced service | $3.89 | $4.07 | $6.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $2.51 | Professional | 53 · Discontinued | $1.58 | $1.62 | $2.51 |
Where Texas sits
The same service costs 10.2 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· 26th of 51
$13.80
VT $100MD $9.77
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.