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 $0.03 Median $0.03 Typical High $0.04 | Facility | None | $0.03 | $0.03 | $0.04 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | None | $0.02 | $0.03 | $0.03 |
BCBS Texas Setting Facility Modifier None Typical Low $0.03 Median $0.06 Typical High $0.11 | Facility | None | $0.03 | $0.06 | $0.11 |
BCBS Texas Setting Professional Modifier None Typical Low $0.05 Median $0.06 Typical High $0.07 | Professional | None | $0.05 | $0.06 | $0.07 |
Christus Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $0.02 Median $0.04 Typical High $0.10 | Facility | None | $0.02 | $0.04 | $0.10 |
Cigna Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | None | $0.03 | $0.03 | $0.03 |
Moda Health Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.29 | Facility | None | $0.02 | $0.03 | $0.29 |
Moda Health Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
Molina Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | None | $0.03 | $0.03 | $0.03 |
Providence Setting Facility Modifier None Typical Low $0.02 Median $0.04 Typical High $0.26 | Facility | None | $0.02 | $0.04 | $0.26 |
Providence Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | None | $0.03 | $0.03 | $0.03 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Wellpoint Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | None | $0.03 | $0.03 | $0.03 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 52 · Reduced service | $0.02 | $0.02 | $0.02 |
Where Texas sits
The same service costs 12.0 times more in Oklahoma than in Michigan. 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· 3rd of 51
$0.05
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.