How much rates vary
Facilitymedian $19 · 10th to 90th $17 to $91Professionalmedian $14 · 10th to 90th $9 to $19
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 $10.23 Median $17.38 Typical High $85.11 | Facility | None | $10.23 | $17.38 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $22.39 | Professional | None | $9.55 | $10.96 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $15.85 | Professional | None | $8.32 | $8.32 | $15.85 |
BCBS Texas Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $95.50 | Facility | None | $16.60 | $36.31 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Baylor Scott & White Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Christus Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $33.88 Typical High $51.29 | Facility | None | $13.49 | $33.88 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $25.12 | Professional | None | $7.94 | $13.49 | $25.12 |
Health Smart Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $22.39 | Facility | None | $18.62 | $22.39 | $22.39 |
Health Smart Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $27.54 | Professional | None | $14.13 | $19.05 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $27.54 | Professional | None | $14.13 | $19.05 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $31.62 Typical High $144.54 | Facility | None | $12.59 | $31.62 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $21.38 | Professional | None | $9.77 | $11.48 | $21.38 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | None | $12.30 | $13.80 | $13.80 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $51.29 | Facility | None | $12.02 | $19.95 | $51.29 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $20.42 | Professional | None | $7.41 | $13.18 | $20.42 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.92 Typical High $16.60 | Facility | None | $6.03 | $6.92 | $16.60 |
United Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $16.60 | Professional | None | $12.59 | $14.13 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
13 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 $5.50 Median $12.02 Typical High $44.67 | Facility | 52 · Reduced service | $5.50 | $12.02 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.79 Typical High $17.78 | Facility | 53 · Discontinued | $2.24 | $4.79 | $17.78 |
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 $2.00 Median $2.19 Typical High $3.98 | Professional | 53 · Discontinued | $2.00 | $2.19 | $3.98 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $6.92 Median $8.32 Typical High $16.60 | Professional | QW · Waived lab test | $6.92 | $8.32 | $16.60 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.31 Median $12.02 Typical High $44.67 | Facility | 52 · Reduced service | $6.31 | $12.02 | $44.67 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $4.79 Typical High $17.78 | Facility | 53 · Discontinued | $2.51 | $4.79 | $17.78 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $42.66 Median $91.20 Typical High $190.55 | Facility | 59 · Distinct service | $42.66 | $91.20 | $190.55 |
Moda Health Setting Facility Modifier QW · Waived lab test Typical Low $41.69 Median $79.43 Typical High $138.04 | Facility | QW · Waived lab test | $41.69 | $79.43 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.13 Typical High $7.94 | Professional | 52 · Reduced service | $5.01 | $5.13 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $3.24 | Professional | 53 · Discontinued | $2.00 | $2.04 | $3.24 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $16.60 Median $19.05 Typical High $24.55 | Professional | 59 · Distinct service | $16.60 | $19.05 | $24.55 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $10.23 Median $16.98 Typical High $25.12 | Professional | QW · Waived lab test | $10.23 | $16.98 | $25.12 |
Where Texas sits
The same service costs 3.2 times more in Alaska 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· 21st of 51
$16.60
AK $37.15NJ $11.48
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.