How much rates vary
Facilitymedian $44 · 10th to 90th $27 to $151Professionalmedian $31 · 10th to 90th $20 to $204
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 $18.20 Median $18.62 Typical High $26.30 | Facility | None | $18.20 | $18.62 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $43.65 | Professional | None | $18.20 | $25.70 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $12.02 Typical High $16.22 | Professional | 52 · Reduced service | $9.12 | $12.02 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
BCBS Texas Setting Facility Modifier None Typical Low $44.67 Median $100.00 Typical High $177.83 | Facility | None | $44.67 | $100.00 | $177.83 |
BCBS Texas Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $27.54 | Professional | None | $25.70 | $26.92 | $27.54 |
Baylor Scott & White Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $53.70 | Professional | None | $28.84 | $33.88 | $53.70 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Health Smart Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $43.65 | Professional | None | $31.62 | $37.15 | $43.65 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $288.40 | Professional | None | $204.17 | $288.40 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $37.15 | Facility | None | $23.44 | $30.20 | $37.15 |
Moda Health Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $43.65 | Professional | None | $18.62 | $25.70 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.75 Typical High $15.49 | Professional | 52 · Reduced service | $9.12 | $11.75 | $15.49 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $28.18 Typical High $37.15 | Professional | None | $5.01 | $28.18 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $28.84 Median $51.29 Typical High $100.00 | Professional | None | $28.84 | $51.29 | $100.00 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $39.81 | Facility | None | $26.30 | $33.11 | $39.81 |
Providence Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $45.71 | Professional | None | $25.12 | $33.11 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier G0 · Stroke telehealth Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | G0 · Stroke telehealth | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | GQ · Store-and-forward telehealth | $70.79 | $70.79 | $70.79 |
Where Texas sits
The same service costs 3.1 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· 46th of 51
$30.90
AK $75.86NY $24.55
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.