How much rates vary
Facilitymedian $51 · 10th to 90th $20 to $115Professionalmedian $28 · 10th to 90th $5 to $178
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 $12.88 Median $26.30 Typical High $102.33 | Facility | None | $12.88 | $26.30 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $27.54 | Professional | None | $11.22 | $14.13 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $14.45 | Professional | None | $8.51 | $10.23 | $14.45 |
BCBS Texas Setting Facility Modifier None Typical Low $30.90 Median $74.13 Typical High $128.82 | Facility | None | $30.90 | $74.13 | $128.82 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $11.22 Typical High $27.54 | Professional | None | $5.01 | $11.22 | $27.54 |
Christus Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $43.65 Typical High $83.18 | Facility | None | $22.39 | $43.65 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $45.71 | Professional | None | $11.48 | $15.85 | $45.71 |
Health Smart Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $64.57 | Professional | None | $18.20 | $30.20 | $64.57 |
Lucent Health Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | None | $151.36 | $177.83 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $15.49 Median $75.86 Typical High $117.49 | Facility | None | $15.49 | $75.86 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $27.54 | Professional | None | $12.02 | $15.49 | $27.54 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None | $16.98 | $16.98 | $19.50 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $43.65 | Professional | None | $19.50 | $23.44 | $43.65 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $48.98 Typical High $93.33 | Facility | None | $16.22 | $48.98 | $93.33 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $42.66 | Professional | None | $11.48 | $20.42 | $42.66 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.51 Typical High $20.42 | Facility | None | $7.24 | $8.51 | $20.42 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $45.71 | Professional | None | $12.02 | $17.38 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $20.42 | Professional | None | $11.48 | $11.48 | $20.42 |
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 $6.76 Median $14.45 Typical High $54.95 | Facility | 52 · Reduced service | $6.76 | $14.45 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $5.89 Typical High $21.88 | Facility | 53 · Discontinued | $2.69 | $5.89 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.31 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.31 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.24 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.24 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.59 Median $14.45 Typical High $54.95 | Facility | 52 · Reduced service | $7.59 | $14.45 | $54.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $5.89 Typical High $21.88 | Facility | 53 · Discontinued | $3.09 | $5.89 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.31 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.31 | $8.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.57 Typical High $3.24 | Professional | 53 · Discontinued | $2.45 | $2.57 | $3.24 |
Where Texas sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 10th of 51
$35.48
VT $70.79IL $15.49
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.