How much rates vary
Facilitymedian $646 · 10th to 90th $646 to $1,349Professionalmedian $95 · 10th to 90th $33 to $813
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 $69.18 Median $83.18 Typical High $93.33 | Facility | None | $69.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $269.15 | Professional | None | $69.18 | $83.18 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Texas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Christus Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,348.96 | Facility | None | $645.65 | $645.65 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $117.49 | Professional | None | $72.44 | $93.33 | $117.49 |
Health Smart Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $812.83 | Professional | None | $575.44 | $575.44 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $144.54 | Facility | None | $69.18 | $95.50 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $151.36 Typical High $1,698.24 | Professional | None | $69.18 | $151.36 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $190.55 | Professional | None | $21.88 | $23.99 | $190.55 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,288.25 | $1,318.26 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $131.83 | Facility | None | $72.44 | $104.71 | $131.83 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $117.49 | Professional | None | $72.44 | $93.33 | $117.49 |
United Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $120.23 | Professional | None | $61.66 | $79.43 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
7 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 Professional Modifier 52 · Reduced service Typical Low $34.67 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $16.60 | $19.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $41.69 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $16.60 | $19.05 |
Moda Health Setting Professional Modifier V5 · Dialysis catheter Typical Low $74.13 Median $588.84 Typical High $794.33 | Professional | V5 · Dialysis catheter | $74.13 | $588.84 | $794.33 |
Moda Health Setting Professional Modifier V6 · Dialysis graft Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | V6 · Dialysis graft | $87.10 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier V7 · Dialysis fistula Typical Low $323.59 Median $1,659.59 Typical High $9,772.37 | Professional | V7 · Dialysis fistula | $323.59 | $1,659.59 | $9,772.37 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Pennsylvania. 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· 27th of 51
$97.72
AK $200PA $46.77
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.