How much rates vary
Facilitymedian $33 · 10th to 90th $25 to $115Professionalmedian $26 · 10th to 90th $20 to $43
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 $20.89 Typical High $23.44 | Facility | None | $19.50 | $20.89 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $34.67 | Professional | None | $19.50 | $21.88 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $28.84 | Professional | None | $21.88 | $28.18 | $28.84 |
BCBS Texas Setting Facility Modifier None Typical Low $33.88 Median $77.62 Typical High $141.25 | Facility | None | $33.88 | $77.62 | $141.25 |
BCBS Texas Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $39.81 | Professional | None | $21.88 | $26.30 | $39.81 |
Christus Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $38.90 | Professional | None | $20.42 | $24.55 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $66.07 | Facility | None | $21.88 | $28.18 | $66.07 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $34.67 | Professional | None | $19.50 | $21.88 | $34.67 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $27.54 Typical High $37.15 | Professional | None | $5.01 | $27.54 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $64.57 | Professional | None | $24.55 | $44.67 | $64.57 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $32.36 | Facility | None | $21.88 | $28.18 | $32.36 |
Providence Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $38.90 | Professional | None | $20.42 | $24.55 | $38.90 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $36.31 | Professional | None | $19.95 | $25.70 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
6 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 25 · Same-day visit Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | 25 · Same-day visit | $23.99 | $28.18 | $29.51 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | Q6 · Substitute physician, paid per time | $29.51 | $29.51 | $29.51 |
Moda Health Setting Professional Modifier 25 · Same-day visit Typical Low $25.12 Median $53.70 Typical High $97.72 | Professional | 25 · Same-day visit | $25.12 | $53.70 | $97.72 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 59 · Distinct service | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | G0 · Stroke telehealth | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | GQ · Store-and-forward telehealth | $57.54 | $57.54 | $57.54 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 37th of 51
$25.70
AK $64.57NJ $21.88
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.