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 $2.82 Median $3.80 Typical High $3.80 | Facility | None | $2.82 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $6.76 | Professional | None | $3.02 | $3.31 | $6.76 |
BCBS Texas Setting Facility Modifier None Typical Low $5.01 Median $6.17 Typical High $27.54 | Facility | None | $5.01 | $6.17 | $27.54 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $6.31 | Professional | None | $5.01 | $5.50 | $6.31 |
Christus Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $18.20 Typical High $33.11 | Facility | None | $3.98 | $18.20 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $11.75 | Professional | None | $2.63 | $2.63 | $11.75 |
Lucent Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Moda Health Setting Facility Modifier None Typical Low $3.80 Median $11.22 Typical High $13.49 | Facility | None | $3.80 | $11.22 | $13.49 |
Moda Health Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $11.22 | Professional | None | $3.02 | $3.72 | $11.22 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.51 | Professional | None | $7.59 | $7.59 | $8.51 |
Providence Setting Facility Modifier None Typical Low $4.68 Median $11.22 Typical High $33.11 | Facility | None | $4.68 | $11.22 | $33.11 |
Providence Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.82 | Professional | None | $2.63 | $2.63 | $2.82 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.79 Typical High $11.22 | Facility | None | $4.07 | $4.79 | $11.22 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $5.01 | Professional | None | $2.09 | $2.09 | $5.01 |
Wellpoint Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $5.89 | Professional | None | $2.00 | $2.00 | $5.89 |
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 $1.51 Median $1.58 Typical High $2.34 | Professional | 52 · Reduced service | $1.51 | $1.58 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.63 Typical High $0.93 | Professional | 53 · Discontinued | $0.60 | $0.63 | $0.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.55 Typical High $2.34 | Professional | 52 · Reduced service | $1.51 | $1.55 | $2.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.62 Typical High $0.93 | Professional | 53 · Discontinued | $0.60 | $0.62 | $0.93 |
Where Texas sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 28th of 51
$5.50
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.