How much rates vary
Facilitymedian $35 · 10th to 90th $19 to $129Professionalmedian $15 · 10th to 90th $8 to $22
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 $16.60 Median $36.31 Typical High $134.90 | Facility | None | $16.60 | $36.31 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $26.30 | Professional | None | $15.14 | $16.60 | $26.30 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $83.18 Typical High $165.96 | Facility | None | $32.36 | $83.18 | $165.96 |
BCBS Texas Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Christus Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $41.69 Typical High $67.61 | Facility | None | $12.30 | $41.69 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $25.70 | Professional | None | $14.79 | $14.79 | $25.70 |
Health Smart Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Health Smart Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $23.99 Typical High $46.77 | Facility | None | $14.79 | $23.99 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $25.12 | Professional | None | $15.14 | $15.49 | $25.12 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | None | $17.78 | $17.78 | $18.62 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $25.12 Typical High $66.07 | Facility | None | $14.13 | $25.12 | $66.07 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | None | $14.45 | $14.79 | $14.79 |
United Setting Facility Modifier None Typical Low $8.91 Median $10.47 Typical High $25.12 | Facility | None | $8.91 | $10.47 | $25.12 |
United Setting Professional Modifier None Typical Low $8.13 Median $15.14 Typical High $19.95 | Professional | None | $8.13 | $15.14 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | None | $10.00 | $10.00 | $12.88 |
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 $8.32 Median $18.20 Typical High $67.61 | Facility | 52 · Reduced service | $8.32 | $18.20 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $7.24 Typical High $26.92 | Facility | 53 · Discontinued | $3.31 | $7.24 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.94 Typical High $15.14 | Professional | 52 · Reduced service | $7.59 | $7.94 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.16 Typical High $6.03 | Professional | 53 · Discontinued | $3.02 | $3.16 | $6.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $18.20 Typical High $67.61 | Facility | 52 · Reduced service | $9.55 | $18.20 | $67.61 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $7.24 Typical High $26.92 | Facility | 53 · Discontinued | $3.80 | $7.24 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.76 Typical High $11.75 | Professional | 52 · Reduced service | $7.59 | $7.76 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $4.68 | Professional | 53 · Discontinued | $3.02 | $3.09 | $4.68 |
Where Texas sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 2nd of 51
$34.67
MT $36.31GA $13.49
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.