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 $14.79 Median $32.36 Typical High $120.23 | Facility | None | $14.79 | $32.36 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $30.90 | Professional | None | $13.49 | $14.13 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
BCBS Texas Setting Facility Modifier None Typical Low $36.31 Median $79.43 Typical High $162.18 | Facility | None | $36.31 | $79.43 | $162.18 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $15.85 | Professional | None | $5.01 | $5.50 | $15.85 |
Christus Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $40.74 Typical High $70.79 | Facility | None | $19.05 | $40.74 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $33.88 | Professional | None | $11.22 | $18.20 | $33.88 |
Lucent Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $22.39 Typical High $56.23 | Facility | None | $14.79 | $22.39 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $23.44 | Professional | None | $13.49 | $14.79 | $23.44 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | None | $16.98 | $19.05 | $19.05 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $81.28 | Facility | None | $16.22 | $26.92 | $81.28 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $27.54 | Professional | None | $10.96 | $18.20 | $27.54 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.33 Typical High $22.39 | Facility | None | $8.13 | $9.33 | $22.39 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $23.44 | Professional | None | $13.49 | $13.49 | $23.44 |
Wellpoint Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
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 QW · Waived lab test Typical Low $20.89 Median $22.39 Typical High $26.92 | Professional | QW · Waived lab test | $20.89 | $22.39 | $26.92 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 20th of 51
$23.44
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.