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 $109.65 Median $151.36 Typical High $234.42 | Facility | None | $109.65 | $151.36 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $120.23 | Professional | None | $109.65 | $112.20 | $120.23 |
BCBS Texas Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $512.86 | Facility | None | $109.65 | $275.42 | $512.86 |
BCBS Texas Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $208.93 Typical High $354.81 | Facility | None | $109.65 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $281.84 | Facility | None | $56.23 | $93.33 | $281.84 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $114.82 | Professional | None | $107.15 | $109.65 | $114.82 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | None | $75.86 | $77.62 | $77.62 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $954.99 | Facility | None | $107.15 | $134.90 | $954.99 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
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 $45.71 Median $70.79 Typical High $229.09 | Facility | JZ · No drug discarded | $45.71 | $70.79 | $229.09 |
Where Texas sits
The same service costs 1.7 times more in Arizona than in Texas. 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· 51st of 51
$107
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.