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 $40.74 Median $41.69 Typical High $97.72 | Facility | None | $40.74 | $41.69 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $48.98 | Professional | None | $40.74 | $41.69 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | None | $40.74 | $40.74 | $53.70 |
BCBS Texas Setting Facility Modifier None Typical Low $95.50 Median $245.47 Typical High $371.54 | Facility | None | $95.50 | $245.47 | $371.54 |
BCBS Texas Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Baylor Scott & White Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | None | $39.81 | $39.81 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $131.83 | Facility | None | $40.74 | $77.62 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Lucent Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $257.04 | Facility | None | $50.12 | $104.71 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $56.23 | Professional | None | $39.81 | $40.74 | $56.23 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | None | $28.18 | $28.18 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $85.11 | Professional | None | $43.65 | $70.79 | $85.11 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $58.88 Typical High $346.74 | Facility | None | $40.74 | $58.88 | $346.74 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None | $39.81 | $39.81 | $41.69 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | JZ · No drug discarded | $39.81 | $39.81 | $48.98 |
Where Texas sits
The same service costs 4.7 times more in Wyoming than in Utah. 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· 40th of 51
$40.74
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.