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 $12.02 Median $81.28 Typical High $416.87 | Facility | None | $12.02 | $81.28 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $17.38 | Professional | None | $9.33 | $12.30 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $112.20 | Facility | None | $23.44 | $58.88 | $112.20 |
BCBS Texas Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | None | $14.13 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $23.99 | Professional | None | $9.12 | $13.49 | $23.99 |
Health Smart Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $23.44 | Professional | None | $15.49 | $20.42 | $23.44 |
Lucent Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | None | $144.54 | $144.54 | $162.18 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $23.44 Typical High $199.53 | Facility | None | $10.72 | $23.44 | $199.53 |
Moda Health Setting Professional Modifier None Typical Low $9.33 Median $14.45 Typical High $24.55 | Professional | None | $9.33 | $14.45 | $24.55 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $38.90 | Professional | None | $28.18 | $30.90 | $38.90 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $69.18 | Professional | None | $18.20 | $28.84 | $69.18 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $18.62 Typical High $35.48 | Facility | None | $9.33 | $18.62 | $35.48 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $23.44 | Professional | None | $9.12 | $13.49 | $23.44 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $20.89 | Facility | None | $15.14 | $15.14 | $20.89 |
United Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $26.92 | Professional | None | $15.85 | $18.20 | $26.92 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | GP · Physical therapy plan | $34.67 | $34.67 | $34.67 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in Delaware. 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· 46th of 51
$16.22
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.