How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $22.39 Median $61.66 Typical High $107.15 | Facility | None | $22.39 | $61.66 | $107.15 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $63.10 Typical High $83.18 | Facility | None | $47.86 | $63.10 | $83.18 |
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 |
|---|---|---|---|---|---|
Health Smart Setting Professional Modifier OT Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | OT | $44.67 | $44.67 | $44.67 |
Where Texas sits
The same service costs 9.3 times more in Kansas than in Kentucky. 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 35
$234
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.