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 $10.47 Median $12.59 Typical High $17.38 | Facility | None | $10.47 | $12.59 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $18.62 | Professional | None | $9.77 | $12.02 | $18.62 |
BCBS Texas Setting Facility Modifier None Typical Low $15.14 Median $38.02 Typical High $72.44 | Facility | None | $15.14 | $38.02 | $72.44 |
BCBS Texas Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $20.42 | Professional | None | $8.71 | $9.77 | $20.42 |
Christus Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $34.67 Typical High $70.79 | Facility | None | $15.49 | $34.67 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $22.39 | Professional | None | $9.77 | $13.80 | $22.39 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $173.78 Typical High $7,762.47 | Facility | None | $48.98 | $173.78 | $7,762.47 |
Moda Health Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $21.38 | Professional | None | $9.77 | $12.02 | $21.38 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $10.00 | Professional | None | $8.91 | $9.33 | $10.00 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $2,454.71 Typical High $2,454.71 | Facility | None | $602.56 | $2,454.71 | $2,454.71 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $40.74 | Facility | None | $11.75 | $16.60 | $40.74 |
Providence Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $22.39 | Professional | None | $7.94 | $13.49 | $22.39 |
United Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $97.72 | Facility | None | $70.79 | $74.13 | $97.72 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $26.30 | Professional | None | $10.96 | $16.98 | $26.30 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $48.98 Median $100.00 Typical High $8,317.64 | Facility | 59 · Distinct service | $48.98 | $100.00 | $8,317.64 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $93.33 Median $173.78 Typical High $371.54 | Facility | XU · Unusual separate service | $93.33 | $173.78 | $371.54 |
Where Texas sits
The same service costs 55.0 times more in Alabama 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· 10th of 51
$56.23
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.