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 $309.03 Median $588.84 Typical High $2,238.72 | Facility | None | $309.03 | $588.84 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $1,621.81 | Professional | None (both parts) | $309.03 | $309.03 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $891.25 Typical High $1,288.25 | Facility | None | $302.00 | $891.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $218.78 | $218.78 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $2,041.74 | $3,090.30 | $3,090.30 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $3,090.30 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $2,238.72 | Facility | None | $269.15 | $489.78 | $2,238.72 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $309.03 | $309.03 | $616.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $398.11 | $446.68 | $870.96 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $1,000.00 Typical High $1,737.80 | Facility | None | $346.74 | $1,000.00 | $1,737.80 |
Providence Setting Professional Modifier None (both parts) Typical Low $269.15 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $269.15 | $537.03 | $741.31 |
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $407.38 | Facility | None | $147.91 | $173.78 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $173.78 | $190.55 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $213.80 | Professional | None (both parts) | $81.28 | $81.28 | $213.80 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $257.04 Typical High $331.13 | Professional | 26 · Professional part | $245.47 | $257.04 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $257.04 Typical High $309.03 | Professional | 26 · Professional part | $245.47 | $257.04 | $309.03 |
Where Texas sits
The same service costs 11.7 times more in Texas than in Alabama. 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· 1st of 51
$2,042
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.