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 $269.15 Median $323.59 Typical High $346.74 | Facility | None | $269.15 | $323.59 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $489.78 | Professional | None | $269.15 | $323.59 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | None | $338.84 | $363.08 | $380.19 |
BCBS Texas Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $549.54 | Professional | None | $288.40 | $354.81 | $549.54 |
Baylor Scott & White Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $549.54 | Professional | None | $363.08 | $371.54 | $549.54 |
Christus Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $446.68 | Professional | None | $281.84 | $363.08 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,344.23 | $3,162.28 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $501.19 | Facility | None | $269.15 | $363.08 | $501.19 |
Moda Health Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $489.78 | Professional | None | $269.15 | $323.59 | $489.78 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $295.12 Typical High $398.11 | Professional | None | $53.70 | $295.12 | $398.11 |
Oscar Health Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $851.14 | Professional | None | $380.19 | $691.83 | $851.14 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $501.19 | Facility | None | $323.59 | $407.38 | $501.19 |
Providence Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $446.68 | Professional | None | $281.84 | $363.08 | $446.68 |
United Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $426.58 | Professional | None | $218.78 | $288.40 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | Q6 · Substitute physician, paid per time | $354.81 | $363.08 | $363.08 |
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | GQ · Store-and-forward telehealth | $524.81 | $524.81 | $524.81 |
Where Texas sits
The same service costs 2.8 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· 39th of 51
$339
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.