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 $95.50 Median $109.65 Typical High $162.18 | Facility | None | $95.50 | $109.65 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $229.09 | Professional | None | $95.50 | $138.04 | $229.09 |
BCBS Texas Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $239.88 | Professional | None | $138.04 | $138.04 | $239.88 |
Baylor Scott & White Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $257.04 | Professional | None | $169.82 | $173.78 | $257.04 |
Christus Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $120.23 Median $169.82 Typical High $194.98 | Facility | None | $120.23 | $169.82 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $229.09 | Professional | None | $95.50 | $138.04 | $229.09 |
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 $173.78 Median $323.59 Typical High $398.11 | Professional | None | $173.78 | $323.59 | $398.11 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $208.93 | Facility | None | $138.04 | $177.83 | $208.93 |
Providence Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Facility | None | $138.04 | $138.04 | $190.55 |
United Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $223.87 | Professional | None | $128.82 | $165.96 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
2 more rates 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 $72.44 Median $72.44 Typical High $263.03 | Professional | 25 · Same-day visit | $72.44 | $72.44 | $263.03 |
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | G0 · Stroke telehealth | $354.81 | $354.81 | $354.81 |
Where Texas sits
The same service costs 2.6 times more in North Dakota 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· 47th 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.