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 $8.91 Median $18.62 Typical High $72.44 | Facility | None | $8.91 | $18.62 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $19.50 | Professional | None | $8.51 | $9.33 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $14.45 | Professional | None | $6.46 | $7.08 | $14.45 |
BCBS Texas Setting Facility Modifier None Typical Low $20.42 Median $52.48 Typical High $95.50 | Facility | None | $20.42 | $52.48 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $10.00 | Professional | None | $5.01 | $7.94 | $10.00 |
Baylor Scott & White Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $56.23 | Facility | None | $14.45 | $14.45 | $56.23 |
Christus Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $30.90 Typical High $53.70 | Facility | None | $12.88 | $30.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $21.88 | Professional | None | $7.41 | $9.33 | $21.88 |
Health Smart Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Health Smart Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $23.44 | Professional | None | $12.88 | $13.49 | $23.44 |
Lucent Health Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $23.99 | Professional | None | $12.88 | $13.49 | $23.99 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $15.14 Typical High $77.62 | Facility | None | $10.72 | $15.14 | $77.62 |
Moda Health Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $15.85 | Professional | None | $8.51 | $10.96 | $15.85 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | None | $10.72 | $12.02 | $12.02 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $53.70 | Facility | None | $10.96 | $19.95 | $53.70 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $18.62 | Professional | None | $7.41 | $9.33 | $18.62 |
United Setting Facility Modifier None Typical Low $5.13 Median $6.03 Typical High $14.45 | Facility | None | $5.13 | $6.03 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $10.47 | Professional | None | $6.03 | $7.59 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.41 | Professional | None | $6.46 | $6.46 | $7.41 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $13.49 Median $14.45 Typical High $17.38 | Professional | 90 · Outside lab | $13.49 | $14.45 | $17.38 |
Where Texas sits
The same service costs 17.4 times more in Vermont than in New Jersey. 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· 27th of 51
$14.13
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.