How much rates vary
Facilitymedian $63 · 10th to 90th $16 to $112Professionalmedian $10 · 10th to 90th $5 to $16
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 $19.95 Typical High $85.11 | Facility | None | $10.47 | $19.95 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $22.39 | Professional | None | $10.00 | $10.96 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $15.85 | Professional | None | $8.13 | $8.32 | $15.85 |
BCBS Texas Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $109.65 | Facility | None | $23.44 | $58.88 | $109.65 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $11.75 | Professional | None | $5.01 | $5.50 | $11.75 |
Baylor Scott & White Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Christus Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $35.48 Typical High $52.48 | Facility | None | $13.80 | $35.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.80 Typical High $25.12 | Professional | None | $7.94 | $13.80 | $25.12 |
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 $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Lucent Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $64.57 Typical High $162.18 | Facility | None | $12.59 | $64.57 | $162.18 |
Moda Health Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $21.88 | Professional | None | $9.55 | $10.96 | $21.88 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | None | $12.59 | $14.13 | $14.13 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $52.48 | Facility | None | $12.02 | $19.95 | $52.48 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $20.89 | Professional | None | $7.41 | $13.18 | $20.89 |
United Setting Facility Modifier None Typical Low $6.03 Median $7.08 Typical High $16.98 | Facility | None | $6.03 | $7.08 | $16.98 |
United Setting Professional Modifier None Typical Low $6.92 Median $7.08 Typical High $14.13 | Professional | None | $6.92 | $7.08 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
10 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 $5.62 Median $12.02 Typical High $45.71 | Facility | 52 · Reduced service | $5.62 | $12.02 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.79 Typical High $18.20 | Facility | 53 · Discontinued | $2.24 | $4.79 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.50 Typical High $10.00 | Professional | 52 · Reduced service | $5.01 | $5.50 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $4.07 | Professional | 53 · Discontinued | $2.04 | $2.24 | $4.07 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $8.32 Typical High $16.98 | Professional | QW · Waived lab test | $7.08 | $8.32 | $16.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.31 Median $12.02 Typical High $45.71 | Facility | 52 · Reduced service | $6.31 | $12.02 | $45.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $4.79 Typical High $18.20 | Facility | 53 · Discontinued | $2.51 | $4.79 | $18.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.25 Typical High $8.13 | Professional | 52 · Reduced service | $5.01 | $5.25 | $8.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $3.24 | Professional | 53 · Discontinued | $2.04 | $2.09 | $3.24 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $14.45 Median $16.98 Typical High $21.38 | Professional | QW · Waived lab test | $14.45 | $16.98 | $21.38 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in Alabama. 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· 19th of 51
$18.62
AK $38.02AL $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.