How much rates vary
Facilitymedian $32 · 10th to 90th $12 to $72Professionalmedian $7 · 10th to 90th $5 to $12
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 $7.94 Median $17.38 Typical High $64.57 | Facility | None | $7.94 | $17.38 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $14.45 | Professional | None | $7.24 | $7.94 | $14.45 |
BCBS Setting Facility Modifier None Typical Low $18.20 Median $44.67 Typical High $85.11 | Facility | None | $18.20 | $44.67 | $85.11 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $8.32 | Professional | None | $5.01 | $6.61 | $8.32 |
Christus Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
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 $12.59 Typical High $52.48 | Facility | None | $9.12 | $12.59 | $52.48 |
Moda Health Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $14.45 | Professional | None | $7.24 | $7.94 | $14.45 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | None | $8.91 | $10.00 | $10.00 |
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 $4.27 Median $5.01 Typical High $12.02 | Facility | None | $4.27 | $5.01 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $16.60 | Professional | None | $5.01 | $6.92 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.17 | Professional | None | $5.89 | $5.89 | $6.17 |
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 $3.98 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $3.98 | $8.71 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $3.47 Typical High $12.88 | Facility | 53 · Discontinued | $1.62 | $3.47 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.98 Typical High $7.24 | Professional | 52 · Reduced service | $3.63 | $3.98 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $2.88 | Professional | 53 · Discontinued | $1.45 | $1.58 | $2.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.57 Median $8.71 Typical High $32.36 | Facility | 52 · Reduced service | $4.57 | $8.71 | $32.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.47 Typical High $12.88 | Facility | 53 · Discontinued | $1.82 | $3.47 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.72 Typical High $5.75 | Professional | 52 · Reduced service | $3.63 | $3.72 | $5.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.48 Typical High $2.34 | Professional | 53 · Discontinued | $1.45 | $1.48 | $2.34 |
Where Texas sits
The same service costs 4.5 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· 24th of 51
$12.02
KS $38.02NJ $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.