How much rates vary
Facilitymedian $110 · 10th to 90th $71 to $347Professionalmedian $63 · 10th to 90th $14 to $100
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 $58.88 Median $60.26 Typical High $60.26 | Facility | None | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $97.72 | Professional | None | $56.23 | $58.88 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None | $64.57 | $75.86 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $407.38 | Facility | None | $102.33 | $229.09 | $407.38 |
BCBS Texas Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $93.33 | Professional | None | $54.95 | $67.61 | $93.33 |
Baylor Scott & White Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $87.10 | Professional | None | $53.70 | $64.57 | $87.10 |
Christus Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $100.00 | Professional | None | $57.54 | $67.61 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $85.11 | Facility | None | $58.88 | $70.79 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $97.72 | Professional | None | $56.23 | $58.88 | $97.72 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $53.70 Typical High $72.44 | Professional | None | $9.77 | $53.70 | $72.44 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $131.83 Typical High $177.83 | Professional | None | $69.18 | $131.83 | $177.83 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $87.10 | Facility | None | $60.26 | $75.86 | $87.10 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $100.00 | Professional | None | $57.54 | $67.61 | $100.00 |
United Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $102.33 | Professional | None | $56.23 | $72.44 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
5 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 $28.18 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $28.18 | $29.51 | $33.11 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $53.70 Median $63.10 Typical High $102.33 | Professional | 25 · Same-day visit | $53.70 | $63.10 | $102.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $28.18 | $29.51 | $30.90 |
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | G0 · Stroke telehealth | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | GQ · Store-and-forward telehealth | $154.88 | $154.88 | $154.88 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in New York. 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· 46th of 51
$63.10
AK $174NY $57.54
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.