How much rates vary
Facilitymedian $31 · 10th to 90th $15 to $87Professionalmedian $14 · 10th to 90th $13 to $145
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 $21.38 Median $21.38 Typical High $25.70 | Facility | None | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $32.36 | Professional | None | $16.60 | $22.91 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $17.78 | Professional | None | $12.02 | $14.45 | $17.78 |
BCBS Texas Setting Facility Modifier None Typical Low $23.44 Median $53.70 Typical High $95.50 | Facility | None | $23.44 | $53.70 | $95.50 |
BCBS Texas Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Baylor Scott & White Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $26.30 | Professional | None | $14.45 | $16.98 | $26.30 |
Christus Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Health Smart Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $21.88 | Professional | None | $15.85 | $18.62 | $21.88 |
Lucent Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | None | $93.33 | $93.33 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $20.42 | Facility | None | $14.13 | $16.98 | $20.42 |
Moda Health Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $28.84 | Professional | None | $12.88 | $16.60 | $28.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $371.54 | Facility | None | $218.78 | $371.54 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $35.48 | Professional | None | $14.79 | $19.95 | $35.48 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $20.42 | Facility | None | $14.13 | $16.98 | $20.42 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $26.30 | Professional | None | $13.18 | $17.78 | $26.30 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $16.22 Median $16.98 Typical High $18.20 | Professional | 25 · Same-day visit | $16.22 | $16.98 | $18.20 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 93 · Audio-only telehealth | $12.02 | $12.02 | $12.02 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $16.98 Median $17.38 Typical High $17.78 | Professional | Q6 · Substitute physician, paid per time | $16.98 | $17.38 | $17.78 |
Where Texas sits
The same service costs 5.1 times more in Alaska than in Maine. 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· 43rd of 51
$14.79
AK $66.07ME $12.88
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.