How much rates vary
Facilitymedian $35 · 10th to 90th $13 to $79Professionalmedian $7 · 10th to 90th $5 to $13
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 $9.12 Median $19.50 Typical High $74.13 | Facility | None | $9.12 | $19.50 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $16.22 | Professional | None | $8.13 | $8.51 | $16.22 |
BCBS Texas Setting Facility Modifier None Typical Low $19.05 Median $50.12 Typical High $95.50 | Facility | None | $19.05 | $50.12 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $9.12 | Professional | None | $5.01 | $7.41 | $9.12 |
Christus Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $28.84 Typical High $48.98 | Facility | None | $12.02 | $28.84 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $20.42 | Professional | None | $6.92 | $8.71 | $20.42 |
Health Smart Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Health Smart Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
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 $10.23 Median $14.45 Typical High $30.20 | Facility | None | $10.23 | $14.45 | $30.20 |
Moda Health Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $16.22 | Professional | None | $8.13 | $9.12 | $16.22 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | None | $10.23 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $10.23 Median $17.78 Typical High $48.98 | Facility | None | $10.23 | $17.78 | $48.98 |
Providence Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $18.20 | Professional | None | $6.92 | $8.71 | $18.20 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.75 Typical High $13.49 | Facility | None | $4.90 | $5.75 | $13.49 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $16.60 | Professional | None | $5.75 | $7.08 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $7.08 | Professional | None | $5.89 | $5.89 | $7.08 |
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 $4.57 Median $9.77 Typical High $37.15 | Facility | 52 · Reduced service | $4.57 | $9.77 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.89 Typical High $14.79 | Facility | 53 · Discontinued | $1.82 | $3.89 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.47 Typical High $8.13 | Professional | 52 · Reduced service | $4.07 | $4.47 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.70 Typical High $3.24 | Professional | 53 · Discontinued | $1.62 | $1.70 | $3.24 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.13 Median $9.77 Typical High $37.15 | Facility | 52 · Reduced service | $5.13 | $9.77 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $3.89 Typical High $14.79 | Facility | 53 · Discontinued | $2.04 | $3.89 | $14.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.27 Typical High $6.61 | Professional | 52 · Reduced service | $4.07 | $4.27 | $6.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.70 Typical High $2.63 | Professional | 53 · Discontinued | $1.62 | $1.70 | $2.63 |
Where Texas sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 22nd of 51
$13.80
VT $43.65NJ $9.55
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.