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 $0.23 Median $0.36 Typical High $0.52 | Facility | None | $0.23 | $0.36 | $0.52 |
Aetna Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.26 | Professional | None | $0.23 | $0.23 | $0.26 |
BCBS Texas Setting Facility Modifier None Typical Low $0.11 Median $0.30 Typical High $0.51 | Facility | None | $0.11 | $0.30 | $0.51 |
BCBS Texas Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.35 | Professional | None | $0.33 | $0.33 | $0.35 |
Cigna Setting Facility Modifier None Typical Low $0.23 Median $0.44 Typical High $0.72 | Facility | None | $0.23 | $0.44 | $0.72 |
Cigna Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.36 | Professional | None | $0.23 | $0.23 | $0.36 |
Moda Health Setting Facility Modifier None Typical Low $0.24 Median $0.49 Typical High $4.57 | Facility | None | $0.24 | $0.49 | $4.57 |
Moda Health Setting Professional Modifier None Typical Low $0.23 Median $0.24 Typical High $0.28 | Professional | None | $0.23 | $0.24 | $0.28 |
Molina Setting Professional Modifier None Typical Low $0.17 Median $0.22 Typical High $0.27 | Professional | None | $0.17 | $0.22 | $0.27 |
Providence Setting Facility Modifier None Typical Low $0.23 Median $0.32 Typical High $1.95 | Facility | None | $0.23 | $0.32 | $1.95 |
Providence Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.36 | Professional | None | $0.23 | $0.23 | $0.36 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.24 Typical High $0.24 | Professional | None | $0.10 | $0.24 | $0.24 |
Wellpoint Setting Professional Modifier None Typical Low $0.23 Median $0.26 Typical High $0.26 | Professional | None | $0.23 | $0.26 | $0.26 |
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 $0.37 Median $1.74 Typical High $2.88 | Facility | JZ · No drug discarded | $0.37 | $1.74 | $2.88 |
Where Texas sits
The same service costs 1.9 times more in Oklahoma than in New Mexico. 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· 26th of 51
$0.24
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.