How much rates vary
Facilitymedian $11 · 10th to 90th $6 to $35Professionalmedian $4 · 10th to 90th $3 to $6
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 $3.89 Median $8.32 Typical High $31.62 | Facility | None | $3.89 | $8.32 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $7.24 | Professional | None | $3.47 | $3.63 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
BCBS Texas Setting Facility Modifier None Typical Low $7.94 Median $20.89 Typical High $38.90 | Facility | None | $7.94 | $20.89 | $38.90 |
BCBS Texas Setting Professional Modifier None Typical Low $3.16 Median $5.01 Typical High $5.50 | Professional | None | $3.16 | $5.01 | $5.50 |
Christus Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $12.59 Typical High $19.50 | Facility | None | $5.13 | $12.59 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.47 Typical High $8.71 | Professional | None | $2.95 | $3.47 | $8.71 |
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 $4.37 Median $6.92 Typical High $58.88 | Facility | None | $4.37 | $6.92 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $3.47 Median $3.80 Typical High $6.92 | Professional | None | $3.47 | $3.80 | $6.92 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $4.90 | Professional | None | $4.37 | $4.90 | $4.90 |
Providence Setting Facility Modifier None Typical Low $4.27 Median $7.24 Typical High $19.05 | Facility | None | $4.27 | $7.24 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $3.47 Typical High $7.59 | Professional | None | $2.95 | $3.47 | $7.59 |
United Setting Facility Modifier None Typical Low $2.09 Median $5.75 Typical High $13.49 | Facility | None | $2.09 | $5.75 | $13.49 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.80 Typical High $5.75 | Professional | None | $3.16 | $3.80 | $5.75 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $3.02 | Professional | None | $2.34 | $2.34 | $3.02 |
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 $1.95 Median $4.17 Typical High $15.49 | Facility | 52 · Reduced service | $1.95 | $4.17 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.66 Typical High $6.31 | Facility | 53 · Discontinued | $0.78 | $1.66 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.91 Typical High $3.47 | Professional | 52 · Reduced service | $1.74 | $1.91 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.76 Typical High $1.38 | Professional | 53 · Discontinued | $0.69 | $0.76 | $1.38 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.19 Median $4.17 Typical High $15.49 | Facility | 52 · Reduced service | $2.19 | $4.17 | $15.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.87 Median $1.66 Typical High $6.31 | Facility | 53 · Discontinued | $0.87 | $1.66 | $6.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.82 Typical High $2.82 | Professional | 52 · Reduced service | $1.74 | $1.82 | $2.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.72 Typical High $1.12 | Professional | 53 · Discontinued | $0.69 | $0.72 | $1.12 |
Where Texas sits
The same service costs 3.9 times more in Kansas 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· 32nd of 51
$5.62
KS $15.85NJ $4.07
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.