How much rates vary
Facilitymedian $107 · 10th to 90th $4 to $603Professionalmedian $2 · 10th to 90th $2 to $5
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 $1.86 Median $3.39 Typical High $15.14 | Facility | None | $1.86 | $3.39 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.95 Typical High $4.07 | Professional | None | $1.78 | $1.95 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $2.09 | Professional | None | $1.51 | $1.51 | $2.09 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $602.56 | Facility | None | $97.72 | $275.42 | $602.56 |
BCBS Texas Setting Professional Modifier None Typical Low $1.62 Median $2.51 Typical High $5.50 | Professional | None | $1.62 | $2.51 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $281.84 | Facility | None | $3.02 | $3.02 | $281.84 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.46 Typical High $12.02 | Facility | None | $3.02 | $6.46 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $2.19 Typical High $4.90 | Professional | None | $1.66 | $2.19 | $4.90 |
Health Smart Setting Facility Modifier None Typical Low $4.57 Median $5.50 Typical High $5.50 | Facility | None | $4.57 | $5.50 | $5.50 |
Health Smart Setting Professional Modifier None Typical Low $2.57 Median $3.72 Typical High $5.50 | Professional | None | $2.57 | $3.72 | $5.50 |
Lucent Health Setting Professional Modifier None Typical Low $2.45 Median $3.72 Typical High $5.50 | Professional | None | $2.45 | $3.72 | $5.50 |
Moda Health Setting Facility Modifier None Typical Low $4.79 Median $112.20 Typical High $977.24 | Facility | None | $4.79 | $112.20 | $977.24 |
Moda Health Setting Professional Modifier None Typical Low $1.78 Median $2.57 Typical High $3.63 | Professional | None | $1.78 | $2.57 | $3.63 |
Molina Setting Professional Modifier None Typical Low $2.24 Median $2.51 Typical High $2.51 | Professional | None | $2.24 | $2.51 | $2.51 |
Providence Setting Facility Modifier None Typical Low $2.40 Median $4.37 Typical High $12.02 | Facility | None | $2.40 | $4.37 | $12.02 |
Providence Setting Professional Modifier None Typical Low $1.66 Median $2.09 Typical High $4.47 | Professional | None | $1.66 | $2.09 | $4.47 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.70 Typical High $3.16 | Professional | None | $1.26 | $1.70 | $3.16 |
Wellpoint Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.55 | Professional | None | $1.48 | $1.48 | $1.55 |
9 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 $1.00 Median $2.14 Typical High $8.13 | Facility | 52 · Reduced service | $1.00 | $2.14 | $8.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.40 Median $0.85 Typical High $3.24 | Facility | 53 · Discontinued | $0.40 | $0.85 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $1.00 Typical High $1.82 | Professional | 52 · Reduced service | $0.89 | $1.00 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.39 Typical High $0.72 | Professional | 53 · Discontinued | $0.36 | $0.39 | $0.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.12 Median $2.14 Typical High $8.13 | Facility | 52 · Reduced service | $1.12 | $2.14 | $8.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.45 Median $0.85 Typical High $3.24 | Facility | 53 · Discontinued | $0.45 | $0.85 | $3.24 |
Moda Health Setting Facility Modifier 91 · Repeat lab test Typical Low $13.18 Median $75.86 Typical High $117.49 | Facility | 91 · Repeat lab test | $13.18 | $75.86 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $0.93 Typical High $1.45 | Professional | 52 · Reduced service | $0.89 | $0.93 | $1.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.37 Typical High $0.58 | Professional | 53 · Discontinued | $0.36 | $0.37 | $0.58 |
Where Texas sits
The same service costs 47.9 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· 3rd of 51
$13.80
VT $107MD $2.24
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.