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 $7.59 Median $7.59 Typical High $30.90 | Professional | None (both parts) | $7.59 | $7.59 | $30.90 |
BCBS Texas Setting Facility Modifier None Typical Low $2.69 Median $10.23 Typical High $45.71 | Facility | None | $2.69 | $10.23 | $45.71 |
Christus Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $32.36 | $32.36 | $40.74 |
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 $12.02 | Professional | None (both parts) | $0.02 | $5.01 | $12.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.92 Median $10.00 Typical High $13.49 | Professional | None (both parts) | $6.92 | $10.00 | $13.49 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $2,398,832.92 | Professional | None (both parts) | $12.02 | $12.02 | $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 $6.31 Median $6.31 Typical High $8.13 | Professional | None (both parts) | $6.31 | $6.31 | $8.13 |
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· 42nd of 51
$8.32
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.