How much rates vary
Facilitymedian $11 · 10th to 90th $4 to $81Professionalmedian $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 $2.63 Median $5.13 Typical High $21.88 | Facility | None | $2.63 | $5.13 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $5.50 | Professional | None | $2.57 | $2.82 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.95 Typical High $4.27 | Professional | None | $2.04 | $2.95 | $4.27 |
BCBS Texas Setting Facility Modifier None Typical Low $5.01 Median $11.75 Typical High $28.18 | Facility | None | $5.01 | $11.75 | $28.18 |
BCBS Texas Setting Professional Modifier None Typical Low $2.34 Median $4.27 Typical High $5.50 | Professional | None | $2.34 | $4.27 | $5.50 |
Christus Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $9.33 Typical High $16.98 | Facility | None | $4.27 | $9.33 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $3.16 Typical High $7.08 | Professional | None | $2.40 | $3.16 | $7.08 |
Health Smart Setting Facility Modifier None Typical Low $6.61 Median $8.13 Typical High $8.13 | Facility | None | $6.61 | $8.13 | $8.13 |
Health Smart Setting Professional Modifier None Typical Low $3.55 Median $5.37 Typical High $8.13 | Professional | None | $3.55 | $5.37 | $8.13 |
Lucent Health Setting Professional Modifier None Typical Low $3.55 Median $5.37 Typical High $8.13 | Professional | None | $3.55 | $5.37 | $8.13 |
Moda Health Setting Facility Modifier None Typical Low $4.47 Median $64.57 Typical High $107.15 | Facility | None | $4.47 | $64.57 | $107.15 |
Moda Health Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $5.13 | Professional | None | $2.57 | $3.24 | $5.13 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $3.63 | Professional | None | $3.24 | $3.63 | $3.63 |
Providence Setting Facility Modifier None Typical Low $3.39 Median $6.17 Typical High $16.98 | Facility | None | $3.39 | $6.17 | $16.98 |
Providence Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $6.46 | Professional | None | $2.40 | $3.09 | $6.46 |
United Setting Facility Modifier None Typical Low $1.38 Median $1.78 Typical High $12.02 | Facility | None | $1.38 | $1.78 | $12.02 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.45 Typical High $3.47 | Professional | None | $1.78 | $2.45 | $3.47 |
Wellpoint Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.19 | Professional | None | $2.09 | $2.09 | $2.19 |
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 $1.45 Median $3.09 Typical High $11.48 | Facility | 52 · Reduced service | $1.45 | $3.09 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.56 Median $1.23 Typical High $4.68 | Facility | 53 · Discontinued | $0.56 | $1.23 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.41 Typical High $2.57 | Professional | 52 · Reduced service | $1.29 | $1.41 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.56 Typical High $1.02 | Professional | 53 · Discontinued | $0.51 | $0.56 | $1.02 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.62 Median $3.09 Typical High $11.48 | Facility | 52 · Reduced service | $1.62 | $3.09 | $11.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.23 Typical High $4.68 | Facility | 53 · Discontinued | $0.65 | $1.23 | $4.68 |
Moda Health Setting Facility Modifier 91 · Repeat lab test Typical Low $50.12 Median $70.79 Typical High $100.00 | Facility | 91 · Repeat lab test | $50.12 | $70.79 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.32 Typical High $2.09 | Professional | 52 · Reduced service | $1.29 | $1.32 | $2.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.52 Typical High $0.83 | Professional | 53 · Discontinued | $0.51 | $0.52 | $0.83 |
Where Texas sits
The same service costs 24.0 times more in Vermont 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· 17th of 51
$5.25
VT $75.86GA $3.16
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.