How much rates vary
Facilitymedian $40 · 10th to 90th $15 to $93Professionalmedian $9 · 10th to 90th $5 to $15
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 $10.47 Median $22.39 Typical High $85.11 | Facility | None | $10.47 | $22.39 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $18.62 | Professional | None | $9.33 | $10.23 | $18.62 |
BCBS Texas Setting Facility Modifier None Typical Low $21.38 Median $56.23 Typical High $104.71 | Facility | None | $21.38 | $56.23 | $104.71 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $11.22 | Professional | None | $5.01 | $8.51 | $11.22 |
Christus Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $32.36 Typical High $50.12 | Facility | None | $12.88 | $32.36 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $23.44 | Professional | None | $7.76 | $8.71 | $23.44 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $72.44 | Facility | None | $11.48 | $15.49 | $72.44 |
Moda Health Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $15.49 | Professional | None | $9.33 | $10.23 | $15.49 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | None | $11.75 | $13.18 | $13.18 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $48.98 | Facility | None | $11.48 | $19.05 | $48.98 |
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 $5.62 Median $6.61 Typical High $15.49 | Facility | None | $5.62 | $6.61 | $15.49 |
United Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $16.22 | Professional | None | $6.61 | $7.08 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $8.13 | Professional | None | $6.31 | $6.31 | $8.13 |
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 $5.25 Median $11.22 Typical High $42.66 | Facility | 52 · Reduced service | $5.25 | $11.22 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $4.47 Typical High $16.98 | Facility | 53 · Discontinued | $2.09 | $4.47 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | 52 · Reduced service | $4.68 | $5.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.04 Typical High $3.72 | Professional | 53 · Discontinued | $1.86 | $2.04 | $3.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.89 Median $11.22 Typical High $42.66 | Facility | 52 · Reduced service | $5.89 | $11.22 | $42.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $4.47 Typical High $16.98 | Facility | 53 · Discontinued | $2.34 | $4.47 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.79 Typical High $7.59 | Professional | 52 · Reduced service | $4.68 | $4.79 | $7.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.95 Typical High $3.02 | Professional | 53 · Discontinued | $1.86 | $1.95 | $3.02 |
Where Texas sits
The same service costs 3.6 times more in Kansas than in Nebraska. 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· 23rd of 51
$15.49
KS $38.02NE $10.47
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.