How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $630.96 Median $645.65 Typical High $645.65 | Facility | None | $630.96 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $794.33 | Professional | None | $616.60 | $630.96 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $977.24 | Professional | None | $691.83 | $977.24 | $977.24 |
BCBS Texas Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Facility | None | $2,884.03 | $2,884.03 | $3,388.44 |
BCBS Texas Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,148.15 | Professional | None | $588.84 | $724.44 | $1,148.15 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,122.02 | Professional | None | $630.96 | $741.31 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $977.24 | Facility | None | $630.96 | $660.69 | $977.24 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $794.33 | Professional | None | $616.60 | $630.96 | $794.33 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $549.54 Typical High $741.31 | Professional | None | $100.00 | $549.54 | $741.31 |
Oscar Health Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $1,548.82 | Professional | None | $691.83 | $1,258.93 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,000.00 | Facility | None | $630.96 | $870.96 | $1,000.00 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,096.48 | Professional | None | $630.96 | $741.31 | $1,096.48 |
United Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,071.52 | Professional | None | $602.56 | $794.33 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 25 · Same-day visit | $660.69 | $660.69 | $660.69 |
Where Texas sits
The same service costs 2.8 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· 50th of 51
$661
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.