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 $7.76 Median $9.77 Typical High $13.18 | Facility | None | $7.76 | $9.77 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $10.47 | Professional | None | $7.76 | $9.33 | $10.47 |
BCBS Texas Setting Facility Modifier None Typical Low $25.12 Median $66.07 Typical High $125.89 | Facility | None | $25.12 | $66.07 | $125.89 |
BCBS Texas Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Baylor Scott & White Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $79.43 | Facility | None | $52.48 | $52.48 | $79.43 |
Christus Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $21.38 | Professional | None | $7.59 | $10.72 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $181.97 Typical High $354.81 | Facility | None | $38.90 | $181.97 | $354.81 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $10.47 | Professional | None | $7.76 | $9.33 | $10.47 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $11.75 Typical High $17.38 | Facility | None | $7.76 | $11.75 | $17.38 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $10.23 Typical High $21.38 | Professional | None | $6.17 | $10.23 | $21.38 |
United Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $20.42 | Professional | None | $8.13 | $14.45 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
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 $83.18 Median $165.96 Typical High $478.63 | Facility | 59 · Distinct service | $83.18 | $165.96 | $478.63 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $63.10 Median $194.98 Typical High $316.23 | Facility | XU · Unusual separate service | $63.10 | $194.98 | $316.23 |
Where Texas sits
The same service costs 9.3 times more in Vermont 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· 4th of 51
$77.62
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.