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 $2.82 Median $3.80 Typical High $6.31 | Facility | None | $2.82 | $3.80 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.80 | Professional | None | $2.82 | $2.82 | $3.80 |
BCBS Texas Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.37 Typical High $8.91 | Facility | None | $2.82 | $5.37 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Moda Health Setting Facility Modifier None Typical Low $2.95 Median $12.59 Typical High $21.88 | Facility | None | $2.95 | $12.59 | $21.88 |
Moda Health Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $3.16 | Professional | None | $2.82 | $2.95 | $3.16 |
Molina Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Providence Setting Facility Modifier None Typical Low $2.82 Median $3.98 Typical High $23.99 | Facility | None | $2.82 | $3.98 | $23.99 |
Providence Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Wellpoint Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | JZ · No drug discarded | $2.82 | $2.82 | $2.82 |
Moda Health Setting Professional Modifier JZ · No drug discarded Typical Low $2.69 Median $3.89 Typical High $7.08 | Professional | JZ · No drug discarded | $2.69 | $3.89 | $7.08 |
Where Texas sits
The same service costs 2.2 times more in Wyoming than in Georgia. 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· 6th of 51
$3.98
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.