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 $1,288.25 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,288.25 | $1,905.46 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,288.25 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $1,230.27 Typical High $1,230.27 | Professional | None | $147.91 | $1,230.27 | $1,230.27 |
BCBS Texas Setting Facility Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $4,677.35 | Facility | None | $1,023.29 | $2,511.89 | $4,677.35 |
BCBS Texas Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Baylor Scott & White Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,630.78 | Facility | None | $2,570.40 | $2,570.40 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $4,168.69 | Facility | None | $1,288.25 | $1,949.84 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $3,090.30 | Facility | None | $954.99 | $1,288.25 | $3,090.30 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,288.25 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,148.15 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $11,220.18 | Facility | None | $1,288.25 | $1,513.56 | $11,220.18 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,288.25 Typical High $1,288.25 | Professional | None | $512.86 | $1,288.25 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | JZ · No drug discarded | $1,230.27 | $1,230.27 | $1,230.27 |
Ambetter Setting Professional Modifier U8 · State-defined Typical Low $269.15 Median $1,000.00 Typical High $1,202.26 | Professional | U8 · State-defined | $269.15 | $1,000.00 | $1,202.26 |
Where Texas sits
Rates are fairly even across states for this service. 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· 31st of 51
$1,288
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.