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 $28.84 Median $29.51 Typical High $39.81 | Facility | None | $28.84 | $29.51 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $39.81 | Professional | None | $28.18 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $16.60 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $52.48 | Professional | None | $41.69 | $48.98 | $52.48 |
BCBS Texas Setting Facility Modifier None Typical Low $38.90 Median $87.10 Typical High $154.88 | Facility | None | $38.90 | $87.10 | $154.88 |
BCBS Texas Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $45.71 | Professional | None | $24.55 | $34.67 | $45.71 |
Christus Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $51.29 | Professional | None | $28.84 | $38.02 | $51.29 |
Health Smart Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Lucent Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $28.84 Median $39.81 Typical High $58.88 | Facility | None | $28.84 | $39.81 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $39.81 | Professional | None | $28.18 | $36.31 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $16.60 | $19.95 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $63.10 Typical High $72.44 | Professional | None | $10.23 | $63.10 | $72.44 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $39.81 Typical High $56.23 | Facility | None | $28.84 | $39.81 | $56.23 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $51.29 | Professional | None | $28.84 | $38.02 | $51.29 |
United Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $52.48 | Professional | None | $23.99 | $34.67 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 25 · Same-day visit Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 25 · Same-day visit | $48.98 | $48.98 | $48.98 |
Where Texas sits
The same service costs 3.5 times more in Alaska 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· 24th of 51
$38.90
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.