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 $21.88 Median $23.44 Typical High $31.62 | Facility | None | $21.88 | $23.44 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $31.62 | Professional | None | $18.20 | $23.99 | $31.62 |
BCBS Texas Setting Facility Modifier None Typical Low $27.54 Median $69.18 Typical High $131.83 | Facility | None | $27.54 | $69.18 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $51.29 | Professional | None | $19.05 | $27.54 | $51.29 |
Christus Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $44.67 | Professional | None | $19.50 | $28.84 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $275.42 | Professional | None | $199.53 | $275.42 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $40.74 | Facility | None | $20.89 | $28.84 | $40.74 |
Moda Health Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $31.62 | Professional | None | $18.20 | $23.99 | $31.62 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $33.88 Typical High $34.67 | Professional | None | $17.38 | $33.88 | $34.67 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $40.74 | Facility | None | $20.89 | $28.84 | $40.74 |
Providence Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $45.71 | Professional | None | $19.50 | $28.84 | $45.71 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Facility | None | $16.98 | $16.98 | $22.91 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $45.71 | Professional | None | $20.42 | $29.51 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | GP · Physical therapy plan | $17.78 | $17.78 | $17.78 |
Where Texas sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 37th of 51
$28.84
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.