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 $12.59 Median $14.79 Typical High $19.95 | Facility | None | $12.59 | $14.79 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $19.95 | Professional | None | $10.96 | $14.79 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $36.31 | Professional | None | $29.51 | $31.62 | $36.31 |
BCBS Texas Setting Facility Modifier None Typical Low $26.30 Median $70.79 Typical High $131.83 | Facility | None | $26.30 | $70.79 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $25.70 | Professional | None | $12.02 | $16.98 | $25.70 |
Baylor Scott & White Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Christus Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $37.15 | Professional | None | $18.20 | $25.70 | $37.15 |
Lucent Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $51.29 | Facility | None | $13.80 | $21.88 | $51.29 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $19.95 | Professional | None | $10.96 | $14.79 | $19.95 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $26.30 | Professional | None | $18.20 | $19.05 | $26.30 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $22.39 Typical High $38.02 | Facility | None | $14.79 | $22.39 | $38.02 |
Providence Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $44.67 | Professional | None | $18.62 | $30.20 | $44.67 |
United Setting Facility Modifier None Typical Low $32.36 Median $33.88 Typical High $44.67 | Facility | None | $32.36 | $33.88 | $44.67 |
United Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $37.15 | Professional | None | $18.20 | $23.99 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | GP · Physical therapy plan | $19.95 | $19.95 | $19.95 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 51st of 51
$18.62
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.