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 $16.98 Median $17.38 Typical High $23.99 | Facility | None | $16.98 | $17.38 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $17.38 Typical High $17.38 | Professional | None | $2.34 | $17.38 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $1.15 Median $3.09 Typical High $5.75 | Facility | None | $1.15 | $3.09 | $5.75 |
BCBS Texas Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Christus Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $6.46 Typical High $8.71 | Facility | None | $2.75 | $6.46 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Lucent Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $3.63 Median $14.79 Typical High $53.70 | Facility | None | $3.63 | $14.79 | $53.70 |
Moda Health Setting Professional Modifier None Typical Low $2.69 Median $17.38 Typical High $17.38 | Professional | None | $2.69 | $17.38 | $17.38 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | None | $47.86 | $54.95 | $64.57 |
Providence Setting Facility Modifier None Typical Low $2.75 Median $8.71 Typical High $23.44 | Facility | None | $2.75 | $8.71 | $23.44 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.45 | Professional | None | $2.40 | $2.40 | $2.45 |
Wellpoint Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier JW · Drug discarded Typical Low $3.72 Median $9.33 Typical High $51.29 | Facility | JW · Drug discarded | $3.72 | $9.33 | $51.29 |
Moda Health Setting Facility Modifier JZ · No drug discarded Typical Low $5.13 Median $9.33 Typical High $346.74 | Facility | JZ · No drug discarded | $5.13 | $9.33 | $346.74 |
Where Texas sits
The same service costs 50.1 times more in North Carolina than in Kentucky. 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· 19th of 51
$2.75
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.