How much rates vary
Facilitymedian $26 · 10th to 90th $14 to $81Professionalmedian $8 · 10th to 90th $5 to $14
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 $9.77 Median $20.89 Typical High $79.43 | Facility | None | $9.77 | $20.89 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $17.38 | Professional | None | $8.71 | $9.55 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $9.12 | Professional | None | $8.91 | $8.91 | $9.12 |
BCBS Texas Setting Facility Modifier None Typical Low $19.95 Median $52.48 Typical High $97.72 | Facility | None | $19.95 | $52.48 | $97.72 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $10.47 | Professional | None | $5.01 | $7.94 | $10.47 |
Christus Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $30.90 Typical High $45.71 | Facility | None | $11.75 | $30.90 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $22.39 | Professional | None | $6.92 | $7.94 | $22.39 |
Health Smart Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Health Smart Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | None | $16.98 | $16.98 | $17.38 |
Lucent Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Moda Health Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $194.98 | Facility | None | $10.96 | $16.22 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $14.45 | Professional | None | $8.71 | $9.55 | $14.45 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $12.30 | Professional | None | $10.96 | $12.30 | $12.30 |
Providence Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $45.71 | Facility | None | $10.72 | $17.78 | $45.71 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $18.20 | Professional | None | $6.76 | $7.94 | $18.20 |
United Setting Facility Modifier None Typical Low $5.25 Median $14.45 Typical High $30.20 | Facility | None | $5.25 | $14.45 | $30.20 |
United Setting Professional Modifier None Typical Low $6.17 Median $6.46 Typical High $11.22 | Professional | None | $6.17 | $6.46 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $7.59 | Professional | None | $5.89 | $5.89 | $7.59 |
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 $4.90 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $4.90 | $10.47 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $4.17 Typical High $15.85 | Facility | 53 · Discontinued | $1.95 | $4.17 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.79 Typical High $8.71 | Professional | 52 · Reduced service | $4.37 | $4.79 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.95 Typical High $3.55 | Professional | 53 · Discontinued | $1.74 | $1.95 | $3.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.50 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $5.50 | $10.47 | $39.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.17 Typical High $15.85 | Facility | 53 · Discontinued | $2.19 | $4.17 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.57 Typical High $7.08 | Professional | 52 · Reduced service | $4.37 | $4.57 | $7.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.82 Typical High $2.82 | Professional | 53 · Discontinued | $1.74 | $1.82 | $2.82 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 24th of 51
$14.45
AK $33.11KY $8.91
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.