How much rates vary
Facilitymedian $25 · 10th to 90th $8 to $66Professionalmedian $20 · 10th to 90th $5 to $110
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 $9.77 Median $20.89 Typical High $79.43 | Facility | None | $9.77 | $20.89 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $13.80 | Professional | None | $8.71 | $9.77 | $13.80 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $19.95 | Professional | None | $5.01 | $8.13 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $25.12 Typical High $45.71 | Facility | None | $7.41 | $25.12 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $9.12 Typical High $24.55 | Professional | None | $4.07 | $9.12 | $24.55 |
Health Smart Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Lucent Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None | $100.00 | $100.00 | $109.65 |
Moda Health Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $72.44 | Facility | None | $9.77 | $17.38 | $72.44 |
Moda Health Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $14.79 | Professional | None | $8.13 | $9.77 | $14.79 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | None | $12.30 | $12.30 | $14.13 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $30.90 | Professional | None | $14.13 | $16.98 | $30.90 |
Providence Setting Facility Modifier None Typical Low $8.71 Median $25.12 Typical High $45.71 | Facility | None | $8.71 | $25.12 | $45.71 |
Providence Setting Professional Modifier None Typical Low $4.07 Median $9.33 Typical High $22.91 | Professional | None | $4.07 | $9.33 | $22.91 |
United Setting Facility Modifier None Typical Low $5.25 Median $6.17 Typical High $14.79 | Facility | None | $5.25 | $6.17 | $14.79 |
United Setting Professional Modifier None Typical Low $5.13 Median $10.96 Typical High $29.51 | Professional | None | $5.13 | $10.96 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $14.79 | Professional | None | $5.89 | $5.89 | $14.79 |
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 $4.79 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $4.79 | $10.47 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $4.27 Typical High $15.85 | Facility | 53 · Discontinued | $1.95 | $4.27 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.57 Typical High $5.62 | Professional | 52 · Reduced service | $4.37 | $4.57 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.86 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $1.86 | $2.24 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.50 Median $10.47 Typical High $39.81 | Facility | 52 · Reduced service | $5.50 | $10.47 | $39.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.27 Typical High $15.85 | Facility | 53 · Discontinued | $2.24 | $4.27 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.57 Typical High $5.62 | Professional | 52 · Reduced service | $4.07 | $4.57 | $5.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.82 Typical High $2.24 | Professional | 53 · Discontinued | $1.62 | $1.82 | $2.24 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Delaware. 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
$19.95
AK $43.65DE $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.