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 $5.50 Median $7.76 Typical High $8.13 | Facility | None | $5.50 | $7.76 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $7.76 | Professional | None | $5.50 | $6.92 | $7.76 |
BCBS Texas Setting Facility Modifier None Typical Low $61.66 Median $173.78 Typical High $173.78 | Facility | None | $61.66 | $173.78 | $173.78 |
BCBS Texas Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Moda Health Setting Facility Modifier None Typical Low $5.50 Median $7.94 Typical High $11.22 | Facility | None | $5.50 | $7.94 | $11.22 |
Moda Health Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $7.76 | Professional | None | $5.50 | $7.24 | $7.76 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $8.71 Typical High $11.22 | Facility | None | $5.50 | $8.71 | $11.22 |
Providence Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $12.59 | Professional | None | $6.03 | $8.32 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
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 RP · Ambulance R to P Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | RP · Ambulance R to P | $4.90 | $4.90 | $4.90 |
Where Texas sits
The same service costs 3801.9 times more in Wyoming than in Louisiana. 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· 19th of 50
$8.13
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.