How much rates vary
Facilitymedian $52 · 10th to 90th $8 to $178Professionalmedian $5 · 10th to 90th $4 to $7
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 $5.25 Median $11.22 Typical High $41.69 | Facility | None | $5.25 | $11.22 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | None | $4.68 | $5.13 | $9.33 |
BCBS Texas Setting Facility Modifier None Typical Low $40.74 Median $112.20 Typical High $194.98 | Facility | None | $40.74 | $112.20 | $194.98 |
BCBS Texas Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $5.50 | Professional | None | $4.27 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $32.36 | Facility | None | $7.76 | $16.98 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $12.88 | Professional | None | $4.47 | $5.50 | $12.88 |
Health Smart Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Health Smart Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | None | $12.02 | $12.02 | $12.30 |
Lucent Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Moda Health Setting Facility Modifier None Typical Low $5.89 Median $8.51 Typical High $41.69 | Facility | None | $5.89 | $8.51 | $41.69 |
Moda Health Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | None | $4.68 | $5.13 | $9.33 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $6.46 | Professional | None | $5.75 | $6.46 | $6.46 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $32.36 | Facility | None | $6.17 | $11.48 | $32.36 |
Providence Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $11.75 | Professional | None | $4.47 | $5.50 | $11.75 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $6.31 | Professional | None | $3.24 | $4.47 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.98 | Professional | None | $3.80 | $3.80 | $3.98 |
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 $2.57 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $2.57 | $5.62 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.05 Median $2.24 Typical High $8.32 | Facility | 53 · Discontinued | $1.05 | $2.24 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.57 Typical High $4.68 | Professional | 52 · Reduced service | $2.34 | $2.57 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.02 Typical High $1.86 | Professional | 53 · Discontinued | $0.93 | $1.02 | $1.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.95 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $2.95 | $5.62 | $20.89 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $2.24 Typical High $8.32 | Facility | 53 · Discontinued | $1.17 | $2.24 | $8.32 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.40 Typical High $3.80 | Professional | 52 · Reduced service | $2.34 | $2.40 | $3.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.95 Typical High $1.51 | Professional | 53 · Discontinued | $0.93 | $0.95 | $1.51 |
Where Texas sits
The same service costs 5.2 times more in Kansas than in New Jersey. 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· 25th of 51
$8.13
KS $28.18NJ $5.37
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.