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 $0.02 Median $0.06 Typical High $0.08 | Facility | None | $0.02 | $0.06 | $0.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $0.07 Typical High $5.01 | Professional | None (both parts) | $0.02 | $0.07 | $5.01 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $12.30 Median $18.20 Typical High $75.86 | Professional | None (both parts) | $12.30 | $18.20 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $8.13 Median $15.49 Typical High $239.88 | Facility | None | $8.13 | $15.49 | $239.88 |
Christus Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | None (both parts) | $13.18 | $13.18 | $16.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Moda Health Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $190.55 | Facility | None | $0.02 | $0.03 | $190.55 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $0.02 Median $0.08 Typical High $5.01 | Professional | None (both parts) | $0.02 | $0.08 | $5.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.89 Median $8.51 Typical High $11.22 | Professional | None (both parts) | $5.89 | $8.51 | $11.22 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Providence Setting Professional Modifier None (both parts) Typical Low $7.41 Median $7.41 Typical High $2,398,832.92 | Professional | None (both parts) | $7.41 | $7.41 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | None (both parts) | $5.37 | $5.37 | $6.92 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.03 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.03 | $0.03 | $0.04 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $0.02 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.02 | $0.03 | $0.04 |
Where Texas sits
The same service costs 8709.6 times more in West Virginia than in Tennessee. 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· 16th of 51
$22.91
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.