How much rates vary
Facilitymedian $245 · 10th to 90th $178 to $676Professionalmedian $229 · 10th to 90th $135 to $347
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 $158.49 Median $162.18 Typical High $234.42 | Facility | None | $158.49 | $162.18 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $295.12 | Professional | None | $158.49 | $218.78 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $295.12 | Professional | None | $239.88 | $281.84 | $295.12 |
BCBS Texas Setting Facility Modifier None Typical Low $223.87 Median $537.03 Typical High $954.99 | Facility | None | $223.87 | $537.03 | $954.99 |
BCBS Texas Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $302.00 | Professional | None | $154.88 | $208.93 | $302.00 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $346.74 | Professional | None | $162.18 | $229.09 | $346.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $309.03 | Facility | None | $165.96 | $229.09 | $309.03 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None | $158.49 | $218.78 | $288.40 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $239.88 Typical High $323.59 | Professional | None | $43.65 | $239.88 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $630.96 | Professional | None | $186.21 | $354.81 | $630.96 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $323.59 | Facility | None | $165.96 | $234.42 | $323.59 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $346.74 | Professional | None | $162.18 | $223.87 | $346.74 |
United Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $208.93 | Facility | None | $154.88 | $158.49 | $208.93 |
United Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $316.23 | Professional | None | $147.91 | $204.17 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $109.65 | $117.49 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | 25 · Same-day visit | $239.88 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | SA · Nurse practitioner | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $109.65 | $117.49 |
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | G0 · Stroke telehealth | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | GQ · Store-and-forward telehealth | $489.78 | $489.78 | $489.78 |
Where Texas sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 32nd of 51
$229
AK $501AL $186
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.