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 $223.87 Median $269.15 Typical High $288.40 | Facility | None | $223.87 | $269.15 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $407.38 | Professional | None | $223.87 | $269.15 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $302.00 | Professional | None | $239.88 | $302.00 | $302.00 |
BCBS Texas Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $467.74 | Professional | None | $239.88 | $295.12 | $467.74 |
Christus Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $371.54 | Professional | None | $234.42 | $302.00 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,630.27 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $398.11 | Facility | None | $223.87 | $302.00 | $398.11 |
Moda Health Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $407.38 | Professional | None | $223.87 | $269.15 | $407.38 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $245.47 Typical High $323.59 | Professional | None | $44.67 | $245.47 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $707.95 | Professional | None | $316.23 | $575.44 | $707.95 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $416.87 | Facility | None | $269.15 | $338.84 | $416.87 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $371.54 | Professional | None | $234.42 | $302.00 | $371.54 |
United Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $363.08 | Professional | None | $181.97 | $245.47 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 Q6 · Substitute physician, paid per time Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | Q6 · Substitute physician, paid per time | $295.12 | $302.00 | $302.00 |
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· 43rd of 51
$275
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.