How much rates vary
Facilitymedian $19 · 10th to 90th $12 to $76Professionalmedian $9 · 10th to 90th $4 to $17
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 $10.47 Median $22.91 Typical High $87.10 | Facility | None | $10.47 | $22.91 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $19.05 | Professional | None | $9.55 | $9.77 | $19.05 |
BCBS Texas Setting Facility Modifier None Typical Low $18.62 Median $51.29 Typical High $87.10 | Facility | None | $18.62 | $51.29 | $87.10 |
BCBS Texas Setting Professional Modifier None Typical Low $5.50 Median $10.00 Typical High $14.45 | Professional | None | $5.50 | $10.00 | $14.45 |
Christus Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $19.50 Typical High $50.12 | Facility | None | $5.25 | $19.50 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $18.62 | Professional | None | $8.91 | $8.91 | $18.62 |
Health Smart Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Health Smart Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Lucent Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Moda Health Setting Facility Modifier None Typical Low $7.76 Median $18.62 Typical High $58.88 | Facility | None | $7.76 | $18.62 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $20.89 | Professional | None | $9.55 | $10.72 | $20.89 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | None | $12.59 | $12.59 | $13.80 |
Providence Setting Facility Modifier None Typical Low $6.03 Median $16.98 Typical High $50.12 | Facility | None | $6.03 | $16.98 | $50.12 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $8.91 | Professional | None | $6.17 | $8.91 | $8.91 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.76 Typical High $18.62 | Facility | None | $6.61 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $12.30 | Professional | None | $3.47 | $8.71 | $12.30 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $9.55 | Professional | None | $5.89 | $5.89 | $9.55 |
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 $5.25 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $5.25 | $11.48 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $4.57 Typical High $17.38 | Facility | 53 · Discontinued | $2.09 | $4.57 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.01 Typical High $9.12 | Professional | 52 · Reduced service | $4.79 | $5.01 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.00 Typical High $3.63 | Professional | 53 · Discontinued | $1.91 | $2.00 | $3.63 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.03 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $6.03 | $11.48 | $42.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $4.57 Typical High $17.38 | Facility | 53 · Discontinued | $2.40 | $4.57 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.90 Typical High $7.08 | Professional | 52 · Reduced service | $4.79 | $4.90 | $7.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $2.82 | Professional | 53 · Discontinued | $1.91 | $1.95 | $2.82 |
Where Texas sits
The same service costs 4.8 times more in Montana than in Kentucky. 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· 17th of 51
$15.49
MT $23.99KY $5.01
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.