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 $15.49 Median $15.49 Typical High $21.88 | Facility | None | $15.49 | $15.49 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $26.30 | Professional | None | $15.49 | $19.95 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
BCBS Texas Setting Facility Modifier None Typical Low $33.11 Median $75.86 Typical High $134.90 | Facility | None | $33.11 | $75.86 | $134.90 |
BCBS Texas Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $33.11 | Professional | None | $18.62 | $21.88 | $33.11 |
Christus Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $229.09 | Professional | None | $165.96 | $229.09 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $30.90 | Facility | None | $20.42 | $27.54 | $30.90 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $26.92 | Professional | None | $15.49 | $19.95 | $26.92 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $28.18 Typical High $37.15 | Professional | None | $5.01 | $28.18 | $37.15 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $35.48 | Facility | None | $21.88 | $27.54 | $35.48 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $30.20 | Facility | None | $21.88 | $21.88 | $30.20 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $38.90 | Professional | None | $19.95 | $25.12 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | G0 · Stroke telehealth | $46.77 | $46.77 | $46.77 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in New York. 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· 34th of 51
$26.30
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.