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 $323.59 Median $2,187.76 Typical High $6,760.83 | Facility | None | $323.59 | $2,187.76 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $190.55 Typical High $269.15 | Professional | None | $74.13 | $190.55 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $173.78 | Professional | None | $70.79 | $72.44 | $173.78 |
BCBS Texas Setting Facility Modifier None Typical Low $630.96 Median $1,148.15 Typical High $2,754.23 | Facility | None | $630.96 | $1,148.15 | $2,754.23 |
BCBS Texas Setting Professional Modifier None Typical Low $69.18 Median $158.49 Typical High $281.84 | Professional | None | $69.18 | $158.49 | $281.84 |
Baylor Scott & White Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $131.83 | Professional | None | $72.44 | $74.13 | $131.83 |
Christus Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $177.83 Typical High $346.74 | Professional | None | $89.13 | $177.83 | $346.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,584.89 | $1,862.09 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $3,090.30 Typical High $6,918.31 | Facility | None | $645.65 | $3,090.30 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $74.13 Median $190.55 Typical High $269.15 | Professional | None | $74.13 | $190.55 | $269.15 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $194.98 Typical High $251.19 | Professional | None | $34.67 | $194.98 | $251.19 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $446.68 | Professional | None | $81.28 | $181.97 | $446.68 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $2,951.21 Typical High $3,981.07 | Facility | None | $117.49 | $2,951.21 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $346.74 | Professional | None | $89.13 | $181.97 | $346.74 |
United Setting Facility Modifier None Typical Low $446.68 Median $2,187.76 Typical High $3,801.89 | Facility | None | $446.68 | $2,187.76 | $3,801.89 |
United Setting Professional Modifier None Typical Low $77.62 Median $194.98 Typical High $363.08 | Professional | None | $77.62 | $194.98 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 59 · Distinct service | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | Q6 · Substitute physician, paid per time | $67.61 | $67.61 | $89.13 |
Where Texas sits
The same service costs 4.1 times more in Minnesota 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· 31st of 51
$204
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.