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 $4.17 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $4.17 | $54.95 | $69.18 |
BCBS Texas Setting Facility Modifier None Typical Low $3.39 Median $12.88 Typical High $190.55 | Facility | None | $3.39 | $12.88 | $190.55 |
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 $16.98 Median $16.98 Typical High $21.38 | Professional | None (both parts) | $16.98 | $16.98 | $21.38 |
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 $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 $7.08 Median $10.23 Typical High $13.80 | Professional | None (both parts) | $7.08 | $10.23 | $13.80 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $2,398,832.92 | Professional | None (both parts) | $17.78 | $17.78 | $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 $6.46 Median $6.46 Typical High $8.32 | Professional | None (both parts) | $6.46 | $6.46 | $8.32 |
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· 39th 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.