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 $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $50.12 | $52.48 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | None (both parts) | $57.54 | $57.54 | $87.10 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $53.70 | $53.70 | $67.61 |
Christus Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $51.29 | $51.29 | $70.79 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $758.58 | $891.25 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $48.98 Typical High $114.82 | Facility | None | $10.23 | $48.98 | $114.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $48.98 | $52.48 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None (both parts) | $64.57 | $64.57 | $81.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $70.79 Typical High $114.82 | Facility | None | $48.98 | $70.79 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $51.29 | $51.29 | $70.79 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $131.83 | Facility | None | $52.48 | $67.61 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $43.65 | $60.26 | $81.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
3 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 |
|---|---|---|---|---|---|
Christus Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | RR · Rental | $7.08 | $7.08 | $7.08 |
Providence Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | RR · Rental | $7.08 | $7.08 | $7.08 |
Where Texas sits
The same service costs 2.8 times more in Wyoming than in Delaware. 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· 48th of 51
$56.23
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.