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 $12.30 Median $26.30 Typical High $100.00 | Facility | None | $12.30 | $26.30 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $25.12 | Professional | None | $10.96 | $12.02 | $25.12 |
BCBS Texas Setting Facility Modifier None Typical Low $25.70 Median $64.57 Typical High $104.71 | Facility | None | $25.70 | $64.57 | $104.71 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $10.47 | Professional | None | $5.01 | $10.00 | $10.47 |
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 Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $57.54 | Facility | None | $15.85 | $34.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $19.05 | Professional | None | $9.77 | $9.77 | $19.05 |
Lucent Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Moda Health Setting Facility Modifier None Typical Low $11.48 Median $18.20 Typical High $36.31 | Facility | None | $11.48 | $18.20 | $36.31 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $25.12 | Professional | None | $10.96 | $11.48 | $25.12 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | None | $13.80 | $15.49 | $15.49 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $57.54 | Facility | None | $12.59 | $19.95 | $57.54 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $12.88 | Professional | None | $9.77 | $9.77 | $12.88 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.76 Typical High $18.20 | Facility | None | $6.61 | $7.76 | $18.20 |
United Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $11.22 | Professional | None | $7.76 | $7.76 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
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 QW · Waived lab test Typical Low $9.12 Median $9.12 Typical High $18.20 | Professional | QW · Waived lab test | $9.12 | $9.12 | $18.20 |
Where Texas sits
The same service costs 4.0 times more in Kansas than in Georgia. 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· 24th of 51
$16.98
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.