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 $724.44 Median $758.58 Typical High $758.58 | Facility | None | $724.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $933.25 | Professional | None | $707.95 | $741.31 | $933.25 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
BCBS Texas Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $5,888.44 | Facility | None | $1,258.93 | $2,951.21 | $5,888.44 |
BCBS Texas Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,288.25 | Professional | None | $676.08 | $794.33 | $1,288.25 |
Baylor Scott & White Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,148.15 | Professional | None | $776.25 | $851.14 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,288.25 | Professional | None | $724.44 | $851.14 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $776.25 Typical High $1,122.02 | Facility | None | $724.44 | $776.25 | $1,122.02 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,023.29 | Professional | None | $707.95 | $741.31 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $630.96 Typical High $851.14 | Professional | None | $114.82 | $630.96 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,778.28 | Professional | None | $812.83 | $1,445.44 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,148.15 | Facility | None | $741.31 | $1,023.29 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,258.93 | Professional | None | $724.44 | $851.14 | $1,258.93 |
United Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,230.27 | Professional | None | $707.95 | $912.01 | $1,230.27 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
2 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 $776.25 Median $776.25 Typical High $776.25 | Professional | 25 · Same-day visit | $776.25 | $776.25 | $776.25 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | Q6 · Substitute physician, paid per time | $776.25 | $776.25 | $776.25 |
Where Texas sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 48th of 51
$776
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.