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 $0.76 Median $0.76 Typical High $0.78 | Facility | None | $0.76 | $0.76 | $0.78 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.79 | Professional | None | $0.76 | $0.76 | $0.79 |
Ambetter Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
BCBS Texas Setting Facility Modifier None Typical Low $0.68 Median $1.74 Typical High $3.31 | Facility | None | $0.68 | $1.74 | $3.31 |
BCBS Texas Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | None | $1.05 | $1.05 | $1.05 |
Baylor Scott & White Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $1.15 | Professional | None | $0.76 | $0.76 | $1.15 |
Cigna Setting Facility Modifier None Typical Low $0.76 Median $1.41 Typical High $2.40 | Facility | None | $0.76 | $1.41 | $2.40 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Lucent Health Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Moda Health Setting Facility Modifier None Typical Low $0.68 Median $4.37 Typical High $13.18 | Facility | None | $0.68 | $4.37 | $13.18 |
Moda Health Setting Professional Modifier None Typical Low $0.76 Median $1.15 Typical High $1.20 | Professional | None | $0.76 | $1.15 | $1.20 |
Molina Setting Professional Modifier None Typical Low $0.52 Median $0.72 Typical High $0.81 | Professional | None | $0.52 | $0.72 | $0.81 |
Oscar Health Setting Professional Modifier None Typical Low $1.12 Median $1.82 Typical High $2.45 | Professional | None | $1.12 | $1.82 | $2.45 |
Providence Setting Facility Modifier None Typical Low $0.76 Median $1.12 Typical High $6.46 | Facility | None | $0.76 | $1.12 | $6.46 |
Providence Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
Wellpoint Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | None | $1.05 | $1.05 | $1.05 |
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 JW · Drug discarded Typical Low $13.80 Median $13.80 Typical High $14.79 | Facility | JW · Drug discarded | $13.80 | $13.80 | $14.79 |
Where Texas sits
The same service costs 2.0 times more in Hawaii than in North Carolina. 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· 11th of 51
$1.05
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.