How much rates vary
Facilitymedian $26 · 10th to 90th $10 to $65Professionalmedian $6 · 10th to 90th $5 to $10
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 $6.46 Median $14.13 Typical High $53.70 | Facility | None | $6.46 | $14.13 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $13.49 | Professional | None | $5.89 | $6.17 | $13.49 |
BCBS Texas Setting Facility Modifier None Typical Low $14.79 Median $36.31 Typical High $69.18 | Facility | None | $14.79 | $36.31 | $69.18 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $7.08 | Professional | None | $5.01 | $5.50 | $7.08 |
Baylor Scott & White Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $61.66 | Facility | None | $9.33 | $14.45 | $61.66 |
Christus Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $21.38 Typical High $38.90 | Facility | None | $9.55 | $21.38 | $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 $14.45 Median $14.45 Typical High $15.14 | Professional | None | $14.45 | $14.45 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Moda Health Setting Facility Modifier None Typical Low $7.59 Median $11.75 Typical High $123.03 | Facility | None | $7.59 | $11.75 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $11.75 | Professional | None | $5.50 | $6.17 | $11.75 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $8.32 | Professional | None | $7.41 | $8.32 | $8.32 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $13.80 Typical High $38.90 | Facility | None | $7.76 | $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 $3.55 Median $4.17 Typical High $10.00 | Facility | None | $3.55 | $4.17 | $10.00 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.50 Typical High $10.00 | Professional | None | $4.17 | $5.50 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.13 | Professional | None | $4.68 | $4.68 | $5.13 |
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 $3.31 Median $7.08 Typical High $26.92 | Facility | 52 · Reduced service | $3.31 | $7.08 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $2.82 Typical High $10.72 | Facility | 53 · Discontinued | $1.32 | $2.82 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.24 Typical High $5.89 | Professional | 52 · Reduced service | $2.95 | $3.24 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.32 Typical High $2.34 | Professional | 53 · Discontinued | $1.20 | $1.32 | $2.34 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.72 Median $7.08 Typical High $26.92 | Facility | 52 · Reduced service | $3.72 | $7.08 | $26.92 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $2.82 Typical High $10.72 | Facility | 53 · Discontinued | $1.51 | $2.82 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.09 Typical High $4.79 | Professional | 52 · Reduced service | $2.95 | $3.09 | $4.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.91 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.91 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Georgia. 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· 28th of 51
$10.00
AK $22.39GA $6.92
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.