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 $154.88 Median $181.97 Typical High $199.53 | Facility | None | $154.88 | $181.97 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $281.84 | Professional | None | $154.88 | $181.97 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | None | $181.97 | $208.93 | $208.93 |
BCBS Texas Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $323.59 | Professional | None | $177.83 | $239.88 | $323.59 |
Christus Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $269.15 | Professional | None | $162.18 | $213.80 | $269.15 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,819.70 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $269.15 | Facility | None | $154.88 | $208.93 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $281.84 | Professional | None | $154.88 | $181.97 | $281.84 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $190.55 Typical High $251.19 | Professional | None | $33.88 | $190.55 | $251.19 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $489.78 | Professional | None | $213.80 | $398.11 | $489.78 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $288.40 | Facility | None | $181.97 | $234.42 | $288.40 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $269.15 | Professional | None | $162.18 | $213.80 | $269.15 |
United Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $269.15 | Professional | None | $141.25 | $186.21 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | Q6 · Substitute physician, paid per time | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | G0 · Stroke telehealth | $346.74 | $346.74 | $346.74 |
Where Texas sits
The same service costs 3.1 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· 40th of 51
$204
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.