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 $537.03 Median $2,238.72 Typical High $6,918.31 | Facility | None | $537.03 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $75.86 Typical High $100.00 | Professional | None | $34.67 | $75.86 | $100.00 |
BCBS Texas Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $467.74 | Facility | None | $48.98 | $74.13 | $467.74 |
BCBS Texas Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $123.03 | Professional | None | $37.15 | $77.62 | $123.03 |
Christus Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $1,412.54 | Facility | None | $61.66 | $87.10 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $125.89 | Professional | None | $43.65 | $69.18 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | None | $630.96 | $630.96 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $1,000.00 Typical High $4,677.35 | Facility | None | $48.98 | $1,000.00 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $34.67 Median $72.44 Typical High $100.00 | Professional | None | $34.67 | $72.44 | $100.00 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $83.18 Typical High $109.65 | Professional | None | $14.79 | $83.18 | $109.65 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $112.20 Typical High $3,801.89 | Facility | None | $61.66 | $112.20 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $125.89 | Professional | None | $43.65 | $69.18 | $125.89 |
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 |
United Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $100.00 | Professional | None | $33.88 | $58.88 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
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 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
Where Texas sits
The same service costs 3.6 times more in Alaska 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· 22nd of 51
$83.18
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.