How much rates vary
Facilitymedian $33 · 10th to 90th $12 to $71Professionalmedian $7 · 10th to 90th $5 to $11
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 $8.13 Median $17.78 Typical High $66.07 | Facility | None | $8.13 | $17.78 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $16.60 | Professional | None | $7.41 | $7.76 | $16.60 |
BCBS Texas Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $81.28 | Facility | None | $19.05 | $48.98 | $81.28 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.76 Typical High $6.92 | Professional | None | $5.01 | $6.76 | $6.92 |
Christus Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.30 Typical High $48.98 | Facility | None | $12.02 | $26.30 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $19.95 | Professional | None | $6.76 | $8.71 | $19.95 |
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 $21.38 | Professional | None | $18.62 | $18.62 | $21.38 |
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 $9.12 Median $12.88 Typical High $61.66 | Facility | None | $9.12 | $12.88 | $61.66 |
Moda Health Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $16.60 | Professional | None | $7.41 | $8.13 | $16.60 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $10.23 | Professional | None | $9.12 | $10.23 | $10.23 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $17.78 Typical High $48.98 | Facility | None | $9.55 | $17.78 | $48.98 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $18.20 | Professional | None | $6.76 | $8.71 | $18.20 |
United Setting Facility Modifier None Typical Low $4.37 Median $5.13 Typical High $12.30 | Facility | None | $4.37 | $5.13 | $12.30 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $16.60 | Professional | None | $5.13 | $6.92 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | None | $5.89 | $5.89 | $6.31 |
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 $4.07 Median $8.91 Typical High $33.11 | Facility | 52 · Reduced service | $4.07 | $8.91 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $3.55 Typical High $13.18 | Facility | 53 · Discontinued | $1.62 | $3.55 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $4.07 Typical High $7.41 | Professional | 52 · Reduced service | $3.72 | $4.07 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.62 Typical High $2.95 | Professional | 53 · Discontinued | $1.48 | $1.62 | $2.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.68 Median $8.91 Typical High $33.11 | Facility | 52 · Reduced service | $4.68 | $8.91 | $33.11 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $3.55 Typical High $13.18 | Facility | 53 · Discontinued | $1.86 | $3.55 | $13.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.80 Typical High $5.89 | Professional | 52 · Reduced service | $3.72 | $3.80 | $5.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.51 Typical High $2.40 | Professional | 53 · Discontinued | $1.48 | $1.51 | $2.40 |
Where Texas sits
The same service costs 4.1 times more in Kansas 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· 39th of 51
$10.23
KS $34.67NJ $8.51
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.