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 $4.68 Median $6.61 Typical High $17.38 | Professional | None (both parts) | $4.68 | $6.61 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $3.16 Median $9.33 Typical High $19.95 | Facility | None | $3.16 | $9.33 | $19.95 |
Christus Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | None (both parts) | $27.54 | $27.54 | $34.67 |
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 $11.75 | Professional | None (both parts) | $0.02 | $5.01 | $11.75 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.57 Median $6.46 Typical High $8.71 | Professional | None (both parts) | $4.57 | $6.46 | $8.71 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $11.75 Median $11.75 Typical High $2,398,832.92 | Professional | None (both parts) | $11.75 | $11.75 | $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 $4.17 Median $4.17 Typical High $5.37 | Professional | None (both parts) | $4.17 | $4.17 | $5.37 |
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· 37th of 51
$8.13
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.