How much rates vary
Facilitymedian $21 · 10th to 90th $9 to $141Professionalmedian $5 · 10th to 90th $5 to $9
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 $5.89 Median $11.22 Typical High $47.86 | Facility | None | $5.89 | $11.22 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | None | $5.62 | $6.17 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $4.68 Typical High $7.94 | Professional | None | $4.57 | $4.68 | $7.94 |
BCBS Texas Setting Facility Modifier None Typical Low $13.80 Median $35.48 Typical High $66.07 | Facility | None | $13.80 | $35.48 | $66.07 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.37 Typical High $7.59 | Professional | None | $5.01 | $5.37 | $7.59 |
Christus Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.42 Typical High $38.90 | Facility | None | $9.55 | $20.42 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $15.85 | Professional | None | $5.37 | $6.76 | $15.85 |
Health Smart Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Health Smart Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $15.49 | Professional | None | $8.51 | $8.91 | $15.49 |
Lucent Health Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $15.49 | Professional | None | $8.51 | $8.91 | $15.49 |
Moda Health Setting Facility Modifier None Typical Low $7.94 Median $87.10 Typical High $229.09 | Facility | None | $7.94 | $87.10 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $11.22 | Professional | None | $5.62 | $8.13 | $11.22 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $7.94 Typical High $7.94 | Professional | None | $7.08 | $7.94 | $7.94 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $13.80 Typical High $38.90 | Facility | None | $7.59 | $13.80 | $38.90 |
Providence Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $14.13 | Professional | None | $5.37 | $6.76 | $14.13 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.98 Typical High $9.33 | Facility | None | $3.39 | $3.98 | $9.33 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.37 Typical High $8.32 | Professional | None | $3.98 | $5.37 | $8.32 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.90 | Professional | None | $4.68 | $4.68 | $4.90 |
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 $3.16 Median $6.76 Typical High $25.70 | Facility | 52 · Reduced service | $3.16 | $6.76 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $2.69 Typical High $10.23 | Facility | 53 · Discontinued | $1.26 | $2.69 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $3.09 Typical High $5.62 | Professional | 52 · Reduced service | $2.82 | $3.09 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.26 Typical High $2.29 | Professional | 53 · Discontinued | $1.12 | $1.26 | $2.29 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.55 Median $6.76 Typical High $25.70 | Facility | 52 · Reduced service | $3.55 | $6.76 | $25.70 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $2.69 Typical High $10.23 | Facility | 53 · Discontinued | $1.45 | $2.69 | $10.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.95 Typical High $4.57 | Professional | 52 · Reduced service | $2.82 | $2.95 | $4.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.17 Typical High $1.82 | Professional | 53 · Discontinued | $1.12 | $1.17 | $1.82 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Illinois. 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· 31st of 51
$9.33
AK $31.62IL $7.24
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.