How much rates vary
Facilitymedian $25 · 10th to 90th $13 to $81Professionalmedian $7 · 10th to 90th $5 to $13
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 $8.91 Median $19.05 Typical High $67.61 | Facility | None | $8.91 | $19.05 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $15.85 | Professional | None | $7.94 | $8.71 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
BCBS Texas Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $93.33 | Facility | None | $19.05 | $48.98 | $93.33 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $9.12 | Professional | None | $5.01 | $7.24 | $9.12 |
Christus Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.84 Typical High $51.29 | Facility | None | $12.88 | $28.84 | $51.29 |
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 $10.00 Median $16.60 Typical High $173.78 | Facility | None | $10.00 | $16.60 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $14.79 | Professional | None | $7.94 | $8.71 | $14.79 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $11.22 | Professional | None | $10.00 | $11.22 | $11.22 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $17.78 Typical High $48.98 | Facility | None | $10.00 | $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 $4.79 Median $5.62 Typical High $13.18 | Facility | None | $4.79 | $5.62 | $13.18 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $14.13 | Professional | None | $5.62 | $7.08 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.92 | Professional | None | $5.89 | $5.89 | $6.92 |
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 $4.47 Median $9.55 Typical High $35.48 | Facility | 52 · Reduced service | $4.47 | $9.55 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $3.80 Typical High $14.45 | Facility | 53 · Discontinued | $1.78 | $3.80 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $4.37 Typical High $7.94 | Professional | 52 · Reduced service | $3.98 | $4.37 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.74 Typical High $3.16 | Professional | 53 · Discontinued | $1.58 | $1.74 | $3.16 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.01 Median $9.55 Typical High $35.48 | Facility | 52 · Reduced service | $5.01 | $9.55 | $35.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $3.80 Typical High $14.45 | Facility | 53 · Discontinued | $2.00 | $3.80 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $4.07 Typical High $6.46 | Professional | 52 · Reduced service | $3.98 | $4.07 | $6.46 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $2.57 | Professional | 53 · Discontinued | $1.58 | $1.62 | $2.57 |
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· 27th of 51
$12.88
KS $34.67NJ $9.33
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.