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 $0.05 Median $0.08 Typical High $5.01 | Professional | None (both parts) | $0.05 | $0.08 | $5.01 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None (both parts) | $5.62 | $5.62 | $5.62 |
BCBS Texas Setting Facility Modifier None Typical Low $4.79 Median $14.13 Typical High $40.74 | Facility | None | $4.79 | $14.13 | $40.74 |
Christus Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | None (both parts) | $26.30 | $26.30 | $32.36 |
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 $0.08 | Facility | None | $0.02 | $0.03 | $0.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $0.02 Median $5.01 Typical High $10.72 | Professional | None (both parts) | $0.02 | $5.01 | $10.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.07 Median $5.75 Typical High $7.76 | Professional | None (both parts) | $4.07 | $5.75 | $7.76 |
Providence Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $2,398,832.92 | Professional | None (both parts) | $10.72 | $10.72 | $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 $3.72 Median $3.72 Typical High $4.79 | Professional | None (both parts) | $3.72 | $3.72 | $4.79 |
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 3981.1 times more in Montana 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· 36th of 51
$9.77
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.