How much rates vary
Facilitymedian $41 · 10th to 90th $15 to $91Professionalmedian $9 · 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 $10.72 Median $22.91 Typical High $81.28 | Facility | None | $10.72 | $22.91 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $21.88 | Professional | None | $9.55 | $10.72 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
BCBS Texas Setting Facility Modifier None Typical Low $21.38 Median $56.23 Typical High $107.15 | Facility | None | $21.38 | $56.23 | $107.15 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $9.12 | Professional | None | $5.01 | $8.91 | $9.12 |
Christus Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $33.88 Typical High $50.12 | Facility | None | $13.18 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $23.99 | Professional | None | $7.76 | $8.71 | $23.99 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $75.86 | Facility | None | $11.22 | $16.22 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $19.50 | Professional | None | $9.55 | $10.72 | $19.50 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $13.49 | Professional | None | $12.02 | $13.49 | $13.49 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $50.12 | Facility | None | $11.75 | $19.50 | $50.12 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $19.95 | Professional | None | $7.41 | $8.71 | $19.95 |
United Setting Facility Modifier None Typical Low $5.75 Median $6.76 Typical High $16.22 | Facility | None | $5.75 | $6.76 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $16.22 | Professional | None | $6.76 | $7.08 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.32 | Professional | None | $6.46 | $6.46 | $8.32 |
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 $5.37 Median $11.48 Typical High $43.65 | Facility | 52 · Reduced service | $5.37 | $11.48 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $4.68 Typical High $17.38 | Facility | 53 · Discontinued | $2.14 | $4.68 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.37 Typical High $9.55 | Professional | 52 · Reduced service | $4.79 | $5.37 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $3.89 | Professional | 53 · Discontinued | $1.95 | $2.14 | $3.89 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.03 Median $11.48 Typical High $43.65 | Facility | 52 · Reduced service | $6.03 | $11.48 | $43.65 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $4.68 Typical High $17.38 | Facility | 53 · Discontinued | $2.45 | $4.68 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.01 Typical High $7.76 | Professional | 52 · Reduced service | $4.79 | $5.01 | $7.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $3.09 | Professional | 53 · Discontinued | $1.95 | $2.00 | $3.09 |
Where Texas sits
The same service costs 3.5 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· 43rd of 51
$12.30
AK $36.31KY $10.23
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.