How much rates vary
Facilitymedian $52 · 10th to 90th $19 to $117Professionalmedian $11 · 10th to 90th $5 to $19
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 $13.18 Median $28.18 Typical High $107.15 | Facility | None | $13.18 | $28.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $23.99 | Professional | None | $11.75 | $12.30 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $30.20 Median $74.13 Typical High $131.83 | Facility | None | $30.20 | $74.13 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.72 Typical High $14.13 | Professional | None | $5.01 | $10.72 | $14.13 |
Christus Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $42.66 Typical High $81.28 | Facility | None | $19.50 | $42.66 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $40.74 | Professional | None | $10.96 | $14.13 | $40.74 |
Health Smart Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Health Smart Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None | $30.20 | $30.20 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $95.50 | Facility | None | $14.79 | $21.38 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $23.44 | Professional | None | $11.75 | $12.30 | $23.44 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | None | $14.79 | $16.60 | $16.60 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $81.28 | Facility | None | $15.85 | $28.84 | $81.28 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $29.51 | Professional | None | $10.96 | $14.13 | $29.51 |
United Setting Facility Modifier None Typical Low $7.08 Median $8.32 Typical High $19.50 | Facility | None | $7.08 | $8.32 | $19.50 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $15.85 | Professional | None | $8.32 | $11.22 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | None | $9.77 | $9.77 | $10.23 |
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 $6.61 Median $14.13 Typical High $52.48 | Facility | 52 · Reduced service | $6.61 | $14.13 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $5.62 Typical High $21.38 | Facility | 53 · Discontinued | $2.63 | $5.62 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $6.46 Typical High $11.75 | Professional | 52 · Reduced service | $5.89 | $6.46 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.57 Typical High $4.68 | Professional | 53 · Discontinued | $2.34 | $2.57 | $4.68 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 90 · Outside lab | $9.33 | $9.33 | $9.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.41 Median $14.13 Typical High $52.48 | Facility | 52 · Reduced service | $7.41 | $14.13 | $52.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $5.62 Typical High $21.38 | Facility | 53 · Discontinued | $2.95 | $5.62 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $6.03 Typical High $9.55 | Professional | 52 · Reduced service | $5.89 | $6.03 | $9.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.45 Typical High $3.80 | Professional | 53 · Discontinued | $2.34 | $2.45 | $3.80 |
Where Texas sits
The same service costs 4.6 times more in Kansas than in Alabama. 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
$19.50
KS $47.86AL $10.47
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.