How much rates vary
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 $5.89 Median $7.08 Typical High $7.76 | Facility | None | $5.89 | $7.08 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $9.33 | Professional | None | $5.89 | $7.24 | $9.33 |
BCBS Texas Setting Facility Modifier None Typical Low $10.47 Median $24.55 Typical High $44.67 | Facility | None | $10.47 | $24.55 | $44.67 |
BCBS Texas Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $17.38 | Professional | None | $6.76 | $9.55 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $13.80 | Professional | None | $6.17 | $9.12 | $13.80 |
Lucent Health Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $177.83 | Professional | None | $67.61 | $177.83 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $6.61 Median $7.94 Typical High $14.45 | Facility | None | $6.61 | $7.94 | $14.45 |
Moda Health Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $9.33 | Professional | None | $5.89 | $7.24 | $9.33 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $6.17 Typical High $6.46 | Professional | None | $5.62 | $6.17 | $6.46 |
Providence Setting Facility Modifier None Typical Low $5.89 Median $8.91 Typical High $13.49 | Facility | None | $5.89 | $8.91 | $13.49 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $13.49 | Professional | None | $6.17 | $9.12 | $13.49 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $12.30 | Professional | None | $6.17 | $8.32 | $12.30 |
Wellpoint Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
4 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 $2.95 Median $3.63 Typical High $4.68 | Professional | 52 · Reduced service | $2.95 | $3.63 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.45 Typical High $1.86 | Professional | 53 · Discontinued | $1.17 | $1.45 | $1.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.63 Typical High $4.68 | Professional | 52 · Reduced service | $2.95 | $3.63 | $4.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.45 Typical High $1.86 | Professional | 53 · Discontinued | $1.17 | $1.45 | $1.86 |
Where Texas sits
The same service costs 2.6 times more in Alaska than in New York. 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
$10.47
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.