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 $1.82 Median $1.82 Typical High $1.95 | Facility | None | $1.82 | $1.82 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.82 Typical High $2.34 | Professional | None | $1.70 | $1.82 | $2.34 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
BCBS Texas Setting Facility Modifier None Typical Low $2.24 Median $3.09 Typical High $7.76 | Facility | None | $2.24 | $3.09 | $7.76 |
BCBS Texas Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Christus Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Lucent Health Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $21.38 | Professional | None | $14.13 | $21.38 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $1.82 Median $2.82 Typical High $1,737.80 | Facility | None | $1.82 | $2.82 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $1.70 Median $1.82 Typical High $2.40 | Professional | None | $1.70 | $1.82 | $2.40 |
Molina Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $2.19 | Professional | None | $1.91 | $1.91 | $2.19 |
Providence Setting Facility Modifier None Typical Low $1.82 Median $2.82 Typical High $2.95 | Facility | None | $1.82 | $2.82 | $2.95 |
Providence Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
United Setting Professional Modifier None Typical Low $0.98 Median $1.29 Typical High $1.70 | Professional | None | $0.98 | $1.29 | $1.70 |
Wellpoint Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
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 GL · Free upgrade Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | GL · Free upgrade | $2.00 | $2.00 | $2.00 |
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· 26th of 51
$1.70
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.