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 $3.72 Median $3.72 Typical High $3.72 | Professional | None (both parts) | $3.72 | $3.72 | $3.72 |
BCBS Texas Setting Facility Modifier None Typical Low $2.04 Median $5.13 Typical High $7.24 | Facility | None | $2.04 | $5.13 | $7.24 |
Christus Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | None (both parts) | $28.18 | $28.18 | $35.48 |
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 $12.30 | Professional | None (both parts) | $0.02 | $5.01 | $12.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.17 Median $6.03 Typical High $7.94 | Professional | None (both parts) | $4.17 | $6.03 | $7.94 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $2,398,832.92 | Professional | None (both parts) | $12.30 | $12.30 | $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 $3.89 Median $3.89 Typical High $5.01 | Professional | None (both parts) | $3.89 | $3.89 | $5.01 |
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 6166.0 times more in Kansas 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
$7.41
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.