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 $57.54 Median $57.54 Typical High $63.10 | Facility | None | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $66.07 | Professional | None | $51.29 | $58.88 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $67.61 | Professional | None | $44.67 | $52.48 | $67.61 |
BCBS Texas Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $251.19 | Facility | None | $70.79 | $114.82 | $251.19 |
BCBS Texas Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | None | $42.66 | $42.66 | $47.86 |
Baylor Scott & White Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
Christus Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
Health Smart Setting Professional Modifier None Typical Low $48.98 Median $91.20 Typical High $97.72 | Professional | None | $48.98 | $91.20 | $97.72 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $676.08 | Professional | None | $446.68 | $446.68 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $91.20 | Facility | None | $25.70 | $56.23 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $66.07 | Professional | None | $51.29 | $58.88 | $66.07 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | None | $66.07 | $66.07 | $81.28 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $91.20 | Facility | None | $38.02 | $58.88 | $91.20 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
United Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $63.10 | Professional | None | $30.90 | $48.98 | $63.10 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
2 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Where Texas sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 35th of 51
$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.