How much rates vary
Facilitymedian $9 · 10th to 90th $5 to $28Professionalmedian $3 · 10th to 90th $2 to $5
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 $3.16 Median $6.92 Typical High $25.70 | Facility | None | $3.16 | $6.92 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.16 Typical High $5.75 | Professional | None | $2.82 | $3.16 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $4.07 | Professional | None | $2.29 | $2.51 | $4.07 |
BCBS Texas Setting Facility Modifier None Typical Low $6.31 Median $16.98 Typical High $31.62 | Facility | None | $6.31 | $16.98 | $31.62 |
BCBS Texas Setting Professional Modifier None Typical Low $2.63 Median $4.79 Typical High $5.50 | Professional | None | $2.63 | $4.79 | $5.50 |
Christus Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.23 Typical High $19.05 | Facility | None | $4.79 | $10.23 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $7.94 | Professional | None | $2.75 | $3.47 | $7.94 |
Health Smart Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Health Smart Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | None | $7.24 | $7.24 | $7.59 |
Lucent Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Moda Health Setting Facility Modifier None Typical Low $3.80 Median $9.77 Typical High $47.86 | Facility | None | $3.80 | $9.77 | $47.86 |
Moda Health Setting Professional Modifier None Typical Low $2.82 Median $3.63 Typical High $5.01 | Professional | None | $2.82 | $3.63 | $5.01 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $3.98 | Professional | None | $3.55 | $3.98 | $3.98 |
Providence Setting Facility Modifier None Typical Low $3.80 Median $7.08 Typical High $19.05 | Facility | None | $3.80 | $7.08 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.51 Median $3.31 Typical High $7.08 | Professional | None | $2.51 | $3.31 | $7.08 |
United Setting Facility Modifier None Typical Low $1.70 Median $2.00 Typical High $4.79 | Facility | None | $1.70 | $2.00 | $4.79 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $6.61 | Professional | None | $2.00 | $2.69 | $6.61 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.45 | Professional | None | $2.34 | $2.34 | $2.45 |
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 $1.58 Median $3.39 Typical High $12.88 | Facility | 52 · Reduced service | $1.58 | $3.39 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.38 Typical High $5.13 | Facility | 53 · Discontinued | $0.65 | $1.38 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.51 Typical High $2.82 | Professional | 52 · Reduced service | $1.45 | $1.51 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.60 Typical High $1.12 | Professional | 53 · Discontinued | $0.56 | $0.60 | $1.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.78 Median $3.39 Typical High $12.88 | Facility | 52 · Reduced service | $1.78 | $3.39 | $12.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.72 Median $1.38 Typical High $5.13 | Facility | 53 · Discontinued | $0.72 | $1.38 | $5.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.48 Typical High $2.29 | Professional | 52 · Reduced service | $1.45 | $1.48 | $2.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.59 Typical High $0.91 | Professional | 53 · Discontinued | $0.58 | $0.59 | $0.91 |
Where Texas sits
The same service costs 4.2 times more in Kansas than in Connecticut. 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· 12th of 51
$6.61
KS $11.75CT $2.82
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.