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 $25.70 Median $54.95 Typical High $208.93 | Facility | None | $25.70 | $54.95 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $46.77 | Professional | None | $22.91 | $24.55 | $46.77 |
BCBS Texas Setting Facility Modifier None Typical Low $50.12 Median $123.03 Typical High $223.87 | Facility | None | $50.12 | $123.03 | $223.87 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $21.38 Typical High $27.54 | Professional | None | $5.01 | $21.38 | $27.54 |
Christus Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $83.18 Typical High $120.23 | Facility | None | $26.30 | $83.18 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $44.67 Typical High $67.61 | Professional | None | $21.38 | $44.67 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $26.92 Median $38.90 Typical High $177.83 | Facility | None | $26.92 | $38.90 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $38.90 | Professional | None | $22.91 | $24.55 | $38.90 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | None | $28.84 | $32.36 | $32.36 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $41.69 Typical High $120.23 | Facility | None | $27.54 | $41.69 | $120.23 |
Providence Setting Professional Modifier None Typical Low $20.42 Median $36.31 Typical High $69.18 | Professional | None | $20.42 | $36.31 | $69.18 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.22 Typical High $38.90 | Facility | None | $13.80 | $16.22 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | None | $16.22 | $16.22 | $22.91 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $19.95 | Professional | None | $15.49 | $15.49 | $19.95 |
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 90 · Outside lab Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 90 · Outside lab | $22.91 | $22.91 | $22.91 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 15th of 51
$40.74
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.