How much rates vary
Facilitymedian $240 · 10th to 90th $5 to $1,230Professionalmedian $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 $2.51 Median $5.50 Typical High $20.89 | Facility | None | $2.51 | $5.50 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $5.01 | Professional | None | $2.29 | $2.51 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
BCBS Texas Setting Facility Modifier None Typical Low $234.42 Median $794.33 Typical High $1,621.81 | Facility | None | $234.42 | $794.33 | $1,621.81 |
BCBS Texas Setting Professional Modifier None Typical Low $2.09 Median $3.39 Typical High $5.50 | Professional | None | $2.09 | $3.39 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $3.80 Median $7.08 Typical High $501.19 | Facility | None | $3.80 | $7.08 | $501.19 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.32 Typical High $16.22 | Facility | None | $3.80 | $8.32 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.75 Typical High $6.61 | Professional | None | $2.19 | $2.75 | $6.61 |
Health Smart Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Health Smart Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.03 | Professional | None | $5.89 | $5.89 | $6.03 |
Lucent Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Moda Health Setting Facility Modifier None Typical Low $3.47 Median $38.90 Typical High $251.19 | Facility | None | $3.47 | $38.90 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $2.29 Median $2.75 Typical High $5.01 | Professional | None | $2.29 | $2.75 | $5.01 |
Molina Setting Professional Modifier None Typical Low $2.88 Median $3.24 Typical High $3.24 | Professional | None | $2.88 | $3.24 | $3.24 |
Providence Setting Facility Modifier None Typical Low $3.09 Median $5.62 Typical High $16.22 | Facility | None | $3.09 | $5.62 | $16.22 |
Providence Setting Professional Modifier None Typical Low $2.19 Median $2.75 Typical High $5.75 | Professional | None | $2.19 | $2.75 | $5.75 |
United Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $741.31 | Facility | None | $549.54 | $562.34 | $741.31 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.19 Typical High $4.17 | Professional | None | $1.62 | $2.19 | $4.17 |
Wellpoint Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $2.00 | Professional | None | $1.91 | $1.91 | $2.00 |
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 $1.29 Median $2.75 Typical High $10.47 | Facility | 52 · Reduced service | $1.29 | $2.75 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.51 Median $1.10 Typical High $4.17 | Facility | 53 · Discontinued | $0.51 | $1.10 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.26 Typical High $2.29 | Professional | 52 · Reduced service | $1.15 | $1.26 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.51 Typical High $0.91 | Professional | 53 · Discontinued | $0.46 | $0.51 | $0.91 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.45 Median $2.75 Typical High $10.47 | Facility | 52 · Reduced service | $1.45 | $2.75 | $10.47 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.58 Median $1.10 Typical High $4.17 | Facility | 53 · Discontinued | $0.58 | $1.10 | $4.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.20 Typical High $1.86 | Professional | 52 · Reduced service | $1.15 | $1.20 | $1.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.47 Typical High $0.74 | Professional | 53 · Discontinued | $0.46 | $0.47 | $0.74 |
Where Texas sits
The same service costs 4.2 times more in Kansas 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· 2nd of 51
$10.23
KS $12.02MD $2.88
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.