How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $87Professionalmedian $8 · 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 $8.71 Median $17.78 Typical High $70.79 | Facility | None | $8.71 | $17.78 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $16.60 | Professional | None | $8.32 | $9.12 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.92 Typical High $8.51 | Professional | None | $6.61 | $6.92 | $8.51 |
BCBS Texas Setting Facility Modifier None Typical Low $19.50 Median $51.29 Typical High $91.20 | Facility | None | $19.50 | $51.29 | $91.20 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $9.77 | Professional | None | $5.01 | $7.59 | $9.77 |
Baylor Scott & White Setting Professional Modifier None Typical Low $10.47 Median $12.30 Typical High $19.50 | Professional | None | $10.47 | $12.30 | $19.50 |
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 $12.88 Median $28.84 Typical High $50.12 | Facility | None | $12.88 | $28.84 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $20.89 | Professional | None | $6.92 | $8.71 | $20.89 |
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 $10.47 Median $28.18 Typical High $120.23 | Facility | None | $10.47 | $28.18 | $120.23 |
Moda Health Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $14.45 | Professional | None | $8.32 | $10.47 | $14.45 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $11.48 | Professional | None | $10.47 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $17.78 Typical High $48.98 | Facility | None | $10.47 | $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 $5.01 Median $5.75 Typical High $13.80 | Facility | None | $5.01 | $5.75 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $14.13 | Professional | None | $5.75 | $7.08 | $14.13 |
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 $4.68 Median $10.00 Typical High $37.15 | Facility | 52 · Reduced service | $4.68 | $10.00 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $3.98 Typical High $14.79 | Facility | 53 · Discontinued | $1.86 | $3.98 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.57 Typical High $8.32 | Professional | 52 · Reduced service | $4.17 | $4.57 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.82 Typical High $3.31 | Professional | 53 · Discontinued | $1.66 | $1.82 | $3.31 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.25 Median $10.00 Typical High $37.15 | Facility | 52 · Reduced service | $5.25 | $10.00 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $3.98 Typical High $14.79 | Facility | 53 · Discontinued | $2.09 | $3.98 | $14.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.27 Typical High $6.76 | Professional | 52 · Reduced service | $4.17 | $4.27 | $6.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.70 Typical High $2.69 | Professional | 53 · Discontinued | $1.66 | $1.70 | $2.69 |
Where Texas sits
The same service costs 3.7 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· 26th of 51
$13.49
KS $36.31NJ $9.77
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.