How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $891.25 Median $1,071.52 Typical High $1,148.15 | Facility | None | $891.25 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,412.54 | Professional | None | $891.25 | $1,071.52 | $1,412.54 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,380.38 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,513.56 | Professional | None | $912.01 | $1,202.26 | $1,513.56 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $9,772.37 Typical High $9,772.37 | Professional | None | $8,128.31 | $9,772.37 | $9,772.37 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,584.89 | Facility | None | $891.25 | $1,174.90 | $1,584.89 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,412.54 | Professional | None | $891.25 | $1,071.52 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $954.99 Typical High $1,288.25 | Professional | None | $173.78 | $954.99 | $1,288.25 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,202.26 | $2,187.76 | $2,754.23 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,659.59 | Facility | None | $1,071.52 | $1,380.38 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,513.56 | Professional | None | $912.01 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,412.54 | Professional | None | $724.44 | $954.99 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | GQ · Store-and-forward telehealth | $1,778.28 | $1,778.28 | $1,778.28 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in New York. 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· 44th of 51
$1,072
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.