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 $8.51 Median $17.78 Typical High $69.18 | Facility | None | $8.51 | $17.78 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $16.60 | Professional | None | $8.32 | $9.12 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | None | $8.51 | $8.51 | $13.80 |
BCBS Texas Setting Facility Modifier None Typical Low $7.59 Median $31.62 Typical High $85.11 | Facility | None | $7.59 | $31.62 | $85.11 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $13.18 | Professional | None | $5.01 | $7.59 | $13.18 |
Christus Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $25.70 Typical High $40.74 | Facility | None | $9.77 | $25.70 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $22.39 | Professional | None | $5.75 | $9.55 | $22.39 |
Health Smart Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Lucent Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Moda Health Setting Facility Modifier None Typical Low $11.75 Median $74.13 Typical High $295.12 | Facility | None | $11.75 | $74.13 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $15.14 | Professional | None | $7.76 | $9.12 | $15.14 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | None | $10.23 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $16.98 Typical High $42.66 | Facility | None | $10.00 | $16.98 | $42.66 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $22.91 | Professional | None | $5.75 | $9.55 | $22.91 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.75 Typical High $13.80 | Facility | None | $4.90 | $5.75 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $12.88 | Professional | None | $4.79 | $5.75 | $12.88 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $21.38 Median $204.17 Typical High $302.00 | Facility | 59 · Distinct service | $21.38 | $204.17 | $302.00 |
Where Texas sits
The same service costs 3.7 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· 21st of 51
$13.80
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.