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 $0.21 Median $0.21 Typical High $0.23 | Facility | None | $0.21 | $0.21 | $0.23 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.22 Typical High $0.28 | Professional | None | $0.20 | $0.22 | $0.28 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS Texas Setting Facility Modifier None Typical Low $0.27 Median $0.44 Typical High $0.95 | Facility | None | $0.27 | $0.44 | $0.95 |
BCBS Texas Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | None | $0.16 | $0.16 | $0.16 |
Christus Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Lucent Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $0.21 Median $0.34 Typical High $0.35 | Facility | None | $0.21 | $0.34 | $0.35 |
Moda Health Setting Professional Modifier None Typical Low $0.20 Median $0.22 Typical High $0.29 | Professional | None | $0.20 | $0.22 | $0.29 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Providence Setting Facility Modifier None Typical Low $0.22 Median $0.35 Typical High $0.35 | Facility | None | $0.22 | $0.35 | $0.35 |
Providence Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
United Setting Professional Modifier None Typical Low $0.12 Median $0.16 Typical High $0.22 | Professional | None | $0.12 | $0.16 | $0.22 |
Wellpoint Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
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 KX · Policy requirements met Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | KX · Policy requirements met | $25.12 | $25.12 | $25.12 |
Where Texas sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 36th of 51
$0.17
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.