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 $4.27 Median $5.25 Typical High $5.89 | Facility | None | $4.27 | $5.25 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $6.17 | Professional | None | $4.07 | $5.25 | $6.17 |
BCBS Texas Setting Facility Modifier None Typical Low $22.91 Median $63.10 Typical High $63.10 | Facility | None | $22.91 | $63.10 | $63.10 |
BCBS Texas Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $19.95 | Professional | None | $15.14 | $19.95 | $19.95 |
Baylor Scott & White Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | None | $6.03 | $6.03 | $9.55 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $7.08 Typical High $10.96 | Facility | None | $4.57 | $7.08 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $7.08 Typical High $7.08 | Professional | None | $4.57 | $7.08 | $7.08 |
Health Smart Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $8.71 | Professional | None | $6.61 | $7.94 | $8.71 |
Lucent Health Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $8.71 | Professional | None | $6.61 | $7.94 | $8.71 |
Moda Health Setting Facility Modifier None Typical Low $4.07 Median $5.75 Typical High $10.72 | Facility | None | $4.07 | $5.75 | $10.72 |
Moda Health Setting Professional Modifier None Typical Low $4.07 Median $5.62 Typical High $6.31 | Professional | None | $4.07 | $5.62 | $6.31 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $6.61 Typical High $10.23 | Facility | None | $4.07 | $6.61 | $10.23 |
Providence Setting Professional Modifier None Typical Low $4.57 Median $7.08 Typical High $7.08 | Professional | None | $4.57 | $7.08 | $7.08 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $11.22 | Professional | None | $5.75 | $8.32 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
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 RH · Ambulance R to H Typical Low $7.24 Median $23.44 Typical High $25.12 | Professional | RH · Ambulance R to H | $7.24 | $23.44 | $25.12 |
Where Texas sits
The same service costs 12.9 times more in Texas than in North Carolina. 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· 1st of 51
$66.07
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.