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 $2.95 Median $4.68 Typical High $6.76 | Facility | None | $2.95 | $4.68 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.02 | Professional | None | $2.95 | $2.95 | $3.02 |
BCBS Texas Setting Facility Modifier None Typical Low $2.51 Median $5.75 Typical High $13.18 | Facility | None | $2.51 | $5.75 | $13.18 |
BCBS Texas Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $5.50 Typical High $9.33 | Facility | None | $2.95 | $5.50 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Lucent Health Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $7.94 | Professional | None | $3.47 | $3.63 | $7.94 |
Moda Health Setting Facility Modifier None Typical Low $3.09 Median $3.80 Typical High $6.46 | Facility | None | $3.09 | $3.80 | $6.46 |
Moda Health Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | None | $3.09 | $3.09 | $3.16 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.47 | Professional | None | $3.02 | $3.02 | $3.47 |
Oscar Health Setting Professional Modifier None Typical Low $3.24 Median $5.50 Typical High $11.22 | Professional | None | $3.24 | $5.50 | $11.22 |
Providence Setting Facility Modifier None Typical Low $2.95 Median $3.98 Typical High $25.12 | Facility | None | $2.95 | $3.98 | $25.12 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | None | $3.09 | $3.09 | $3.16 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
4 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 Facility Modifier JZ · No drug discarded Typical Low $18.62 Median $28.18 Typical High $28.84 | Facility | JZ · No drug discarded | $18.62 | $28.18 | $28.84 |
Moda Health Setting Professional Modifier EC · Anemia drug, other cause Typical Low $6.31 Median $6.31 Typical High $28.18 | Professional | EC · Anemia drug, other cause | $6.31 | $6.31 | $28.18 |
Moda Health Setting Professional Modifier JB · Given under the skin Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | JB · Given under the skin | $5.89 | $5.89 | $5.89 |
Moda Health Setting Professional Modifier JZ · No drug discarded Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | JZ · No drug discarded | $5.37 | $5.37 | $5.37 |
Where Texas sits
The same service costs 2.7 times more in Wyoming 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
$2.95
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.