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 $208.93 Median $295.12 Typical High $302.00 | Facility | None | $208.93 | $295.12 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | None | $199.53 | $239.88 | $295.12 |
BCBS Texas Setting Facility Modifier None Typical Low $812.83 Median $2,290.87 Typical High $2,290.87 | Facility | None | $812.83 | $2,290.87 | $2,290.87 |
BCBS Texas Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $707.95 | Professional | None | $512.86 | $707.95 | $707.95 |
Baylor Scott & White Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $489.78 | Professional | None | $257.04 | $288.40 | $489.78 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $407.38 | Facility | None | $234.42 | $257.04 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $323.59 | Professional | None | $234.42 | $257.04 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $478.63 | Facility | None | $208.93 | $302.00 | $478.63 |
Moda Health Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | None | $199.53 | $239.88 | $295.12 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $426.58 | Facility | None | $208.93 | $295.12 | $426.58 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $323.59 | Professional | None | $234.42 | $257.04 | $323.59 |
United Setting Facility Modifier None Typical Low $338.84 Median $346.74 Typical High $346.74 | Facility | None | $338.84 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $389.05 | Professional | None | $213.80 | $309.03 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 HR · Family, patient present Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | HR · Family, patient present | $234.42 | $234.42 | $234.42 |
Where Texas sits
The same service costs 7.6 times more in Illinois than in Texas. 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· 51st of 51
$117
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.