How much rates vary
Facilitymedian $47 · 10th to 90th $19 to $120Professionalmedian $32 · 10th to 90th $19 to $65
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 $19.50 Median $21.38 Typical High $25.12 | Facility | None | $19.50 | $21.38 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $27.54 | Professional | None | $19.50 | $22.91 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | None | $35.48 | $38.02 | $38.02 |
BCBS Texas Setting Facility Modifier None Typical Low $33.11 Median $75.86 Typical High $131.83 | Facility | None | $33.11 | $75.86 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $32.36 | Professional | None | $17.78 | $21.38 | $32.36 |
Baylor Scott & White Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | None | $38.02 | $38.02 | $40.74 |
Christus Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $54.95 | Professional | None | $26.92 | $34.67 | $54.95 |
Health Smart Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $45.71 | Professional | None | $36.31 | $42.66 | $45.71 |
Lucent Health Setting Professional Modifier None Typical Low $42.66 Median $251.19 Typical High $316.23 | Professional | None | $42.66 | $251.19 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $61.66 | Facility | None | $22.91 | $34.67 | $61.66 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $33.88 | Professional | None | $19.50 | $22.91 | $33.88 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $31.62 Typical High $37.15 | Professional | None | $5.37 | $31.62 | $37.15 |
Oscar Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $48.98 | Facility | None | $21.38 | $31.62 | $48.98 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $64.57 | Professional | None | $26.92 | $39.81 | $64.57 |
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 $26.30 Median $31.62 Typical High $45.71 | Professional | None | $26.30 | $31.62 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AT · Acute treatment Typical Low $34.67 Median $38.02 Typical High $39.81 | Professional | AT · Acute treatment | $34.67 | $38.02 | $39.81 |
Moda Health Setting Facility Modifier AT · Acute treatment Typical Low $38.02 Median $53.70 Typical High $57.54 | Facility | AT · Acute treatment | $38.02 | $53.70 | $57.54 |
Moda Health Setting Professional Modifier AT · Acute treatment Typical Low $7.94 Median $46.77 Typical High $64.57 | Professional | AT · Acute treatment | $7.94 | $46.77 | $64.57 |
Where Texas sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 41st of 51
$32.36
AK $74.13DC $26.92
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.