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 $75.86 Median $95.50 Typical High $138.04 | Facility | None | $75.86 | $95.50 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $190.55 | Professional | None | $81.28 | $120.23 | $190.55 |
BCBS Texas Setting Facility Modifier None Typical Low $147.91 Median $346.74 Typical High $616.60 | Facility | None | $147.91 | $346.74 | $616.60 |
BCBS Texas Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $218.78 | Professional | None | $109.65 | $141.25 | $218.78 |
Baylor Scott & White Setting Facility Modifier None Typical Low $104.71 Median $269.15 Typical High $331.13 | Facility | None | $104.71 | $269.15 | $331.13 |
Baylor Scott & White Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $263.03 | Professional | None | $112.20 | $169.82 | $263.03 |
Christus Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,479.11 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $186.21 | Facility | None | $97.72 | $138.04 | $186.21 |
Moda Health Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $186.21 | Professional | None | $77.62 | $120.23 | $186.21 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $134.90 Typical High $181.97 | Professional | None | $24.55 | $134.90 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $398.11 | Professional | None | $125.89 | $245.47 | $398.11 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $190.55 | Facility | None | $112.20 | $144.54 | $190.55 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $194.98 | Professional | None | $97.72 | $134.90 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 Professional Modifier 25 · Same-day visit Typical Low $104.71 Median $177.83 Typical High $263.03 | Professional | 25 · Same-day visit | $104.71 | $177.83 | $263.03 |
Where Texas sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 41st of 51
$141
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.