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 $3.89 Median $6.31 Typical High $75.86 | Professional | None (both parts) | $3.89 | $6.31 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $2.45 Median $9.33 Typical High $151.36 | Facility | None | $2.45 | $9.33 | $151.36 |
Christus Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | None (both parts) | $12.30 | $12.30 | $15.49 |
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 $5.62 Median $7.94 Typical High $10.72 | Professional | None (both parts) | $5.62 | $7.94 | $10.72 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
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 $5.01 Median $6.46 Typical High $6.46 | Professional | None (both parts) | $5.01 | $6.46 | $6.46 |
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· 44th of 51
$7.24
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.