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 $60.26 Median $60.26 Typical High $79.43 | Facility | None | $60.26 | $60.26 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $346.74 Typical High $676.08 | Facility | None | $138.04 | $346.74 | $676.08 |
BCBS Texas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Baylor Scott & White Setting Facility Modifier None Typical Low $309.03 Median $446.68 Typical High $1,949.84 | Facility | None | $309.03 | $446.68 | $1,949.84 |
Christus Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Health Smart Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $87.10 Typical High $338.84 | Facility | None | $41.69 | $87.10 | $338.84 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $87.10 | Facility | None | $60.26 | $60.26 | $87.10 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier CS · COVID-19 cost sharing waived Typical Low $26.30 Median $85.11 Typical High $204.17 | Facility | CS · COVID-19 cost sharing waived | $26.30 | $85.11 | $204.17 |
Where Texas sits
The same service costs 182.0 times more in Alaska than in Kansas. 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· 6th of 51
$77.62
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.