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 $12.88 Median $15.49 Typical High $19.50 | Facility | None | $12.88 | $15.49 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $25.12 | Professional | None | $12.30 | $14.79 | $25.12 |
BCBS Texas Setting Facility Modifier None Typical Low $17.38 Median $44.67 Typical High $91.20 | Facility | None | $17.38 | $44.67 | $91.20 |
BCBS Texas Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $24.55 | Professional | None | $10.72 | $12.02 | $24.55 |
Baylor Scott & White Setting Facility Modifier None Typical Low $16.22 Median $54.95 Typical High $79.43 | Facility | None | $16.22 | $54.95 | $79.43 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $36.31 Typical High $70.79 | Facility | None | $22.39 | $36.31 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $33.11 | Professional | None | $11.75 | $16.98 | $33.11 |
Health Smart Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $165.96 Typical High $380.19 | Facility | None | $25.70 | $165.96 | $380.19 |
Moda Health Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $25.12 | Professional | None | $12.30 | $15.14 | $25.12 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $12.30 | Professional | None | $10.72 | $11.48 | $12.30 |
Oscar Health Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,148.15 | $2,454.71 | $2,454.71 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $42.66 | Facility | None | $14.45 | $22.39 | $42.66 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $16.98 Typical High $33.11 | Professional | None | $9.77 | $16.98 | $33.11 |
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 $13.18 Median $23.44 Typical High $36.31 | Professional | None | $13.18 | $23.44 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
3 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 $79.43 Median $165.96 Typical High $478.63 | Facility | 59 · Distinct service | $79.43 | $165.96 | $478.63 |
Moda Health Setting Facility Modifier XE · Separate encounter Typical Low $112.20 Median $151.36 Typical High $549.54 | Facility | XE · Separate encounter | $112.20 | $151.36 | $549.54 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $77.62 Median $208.93 Typical High $501.19 | Facility | XU · Unusual separate service | $77.62 | $208.93 | $501.19 |
Where Texas sits
The same service costs 8.5 times more in Vermont than in Maryland. 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
$58.88
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.