How much rates vary
Facilitymedian $13 · 10th to 90th $5 to $35Professionalmedian $3 · 10th to 90th $2 to $5
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 $3.16 Median $6.61 Typical High $25.70 | Facility | None | $3.16 | $6.61 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $5.62 | Professional | None | $2.82 | $3.09 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | None | $2.29 | $2.88 | $2.88 |
BCBS Texas Setting Facility Modifier None Typical Low $7.08 Median $17.78 Typical High $33.88 | Facility | None | $7.08 | $17.78 | $33.88 |
BCBS Texas Setting Professional Modifier None Typical Low $2.57 Median $4.68 Typical High $5.50 | Professional | None | $2.57 | $4.68 | $5.50 |
Christus Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.23 Typical High $19.05 | Facility | None | $4.79 | $10.23 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $7.94 | Professional | None | $2.75 | $3.47 | $7.94 |
Health Smart Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Health Smart Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | None | $7.24 | $7.24 | $7.59 |
Lucent Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Moda Health Setting Facility Modifier None Typical Low $3.63 Median $6.46 Typical High $147.91 | Facility | None | $3.63 | $6.46 | $147.91 |
Moda Health Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $5.89 | Professional | None | $2.82 | $3.09 | $5.89 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $3.98 | Professional | None | $3.55 | $3.98 | $3.98 |
Providence Setting Facility Modifier None Typical Low $3.80 Median $6.92 Typical High $19.05 | Facility | None | $3.80 | $6.92 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $7.08 | Professional | None | $2.75 | $3.47 | $7.08 |
United Setting Facility Modifier None Typical Low $1.70 Median $4.68 Typical High $10.47 | Facility | None | $1.70 | $4.68 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $3.89 | Professional | None | $2.00 | $2.69 | $3.89 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.45 | Professional | None | $2.34 | $2.34 | $2.45 |
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 $1.58 Median $3.39 Typical High $12.88 | Facility | 52 · Reduced service | $1.58 | $3.39 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.63 Median $1.35 Typical High $5.13 | Facility | 53 · Discontinued | $0.63 | $1.35 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.55 Typical High $2.82 | Professional | 52 · Reduced service | $1.41 | $1.55 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.62 Typical High $1.12 | Professional | 53 · Discontinued | $0.56 | $0.62 | $1.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.78 Median $3.39 Typical High $12.88 | Facility | 52 · Reduced service | $1.78 | $3.39 | $12.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.71 Median $1.35 Typical High $5.13 | Facility | 53 · Discontinued | $0.71 | $1.35 | $5.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.48 Typical High $2.29 | Professional | 52 · Reduced service | $1.41 | $1.48 | $2.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.59 Typical High $0.91 | Professional | 53 · Discontinued | $0.58 | $0.59 | $0.91 |
Where Texas sits
The same service costs 4.0 times more in Alaska than in Maryland. 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
$5.50
AK $14.13MD $3.55
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.