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Texas rates for HCPCS 0231U

Rates data updated July 2026.

How much does HCPCS 0231U cost?

$646

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,023 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$513 to $646
FacilityA hospital or hospital-owned outpatient department$1,023$646 to $1,585

How much rates vary

Facilitymedian $1,023 · 10th to 90th $513 to $3,631Professionalmedian $537 · 10th to 90th $427 to $851
$100$200$500$1K$2K$5Kfacility $1,023professional $537

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,023.29
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$724.44
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,380.38
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,230.27
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$6,309.57
Typical High
$6,309.57
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,318.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,258.93
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$912.01
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$2,238.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$851.14
Typical High
$1,148.15

Where Texas sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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· 43rd of 51

$646

AK $1,905WY $513

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.