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 |
|---|---|---|---|---|---|
BCBS Texas Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $1,023.29 | Facility | None | $131.83 | $245.47 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $891.25 Typical High $1,513.56 | Facility | None | $56.23 | $891.25 | $1,513.56 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $7,413.10 | Facility | None | $831.76 | $831.76 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $251.19 | Professional | None | $26.30 | $41.69 | $251.19 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $1,288.25 Typical High $251,188.64 | Facility | None | $66.07 | $1,288.25 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | None | $60.26 | $60.26 | $79.43 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | GP · Physical therapy plan | $30.20 | $30.20 | $30.20 |
Where Texas sits
The same service costs 83.2 times more in Colorado than in Michigan. 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· 26th of 51
$339
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.