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 $0.11 Median $0.13 Typical High $0.22 | Facility | None | $0.11 | $0.13 | $0.22 |
Aetna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.13 | Professional | None | $0.11 | $0.11 | $0.13 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
BCBS Texas Setting Facility Modifier None Typical Low $0.05 Median $0.13 Typical High $0.25 | Facility | None | $0.05 | $0.13 | $0.25 |
BCBS Texas Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.13 | Professional | None | $0.05 | $0.05 | $0.13 |
Cigna Setting Facility Modifier None Typical Low $0.11 Median $0.22 Typical High $0.36 | Facility | None | $0.11 | $0.22 | $0.36 |
Cigna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
Moda Health Setting Facility Modifier None Typical Low $0.11 Median $0.41 Typical High $2.24 | Facility | None | $0.11 | $0.41 | $2.24 |
Moda Health Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.14 | Professional | None | $0.10 | $0.10 | $0.14 |
Molina Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.12 | Professional | None | $0.11 | $0.11 | $0.12 |
Providence Setting Facility Modifier None Typical Low $0.10 Median $0.14 Typical High $0.93 | Facility | None | $0.10 | $0.14 | $0.93 |
Providence Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
Wellpoint Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier JZ · No drug discarded Typical Low $0.58 Median $0.91 Typical High $3.02 | Facility | JZ · No drug discarded | $0.58 | $0.91 | $3.02 |
Where Texas sits
The same service costs 14.8 times more in Wyoming than in Rhode Island. 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· 13th of 51
$0.12
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.