How much rates vary
Facilitymedian $851 · 10th to 90th $309 to $2,188Professionalmedian $2,239 · 10th to 90th $191 to $3,388
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 $295.12 Median $645.65 Typical High $2,454.71 | Facility | None | $295.12 | $645.65 | $2,454.71 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $323.59 Typical High $1,230.27 | Facility | 52 · Reduced service | $151.36 | $323.59 | $1,230.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $128.82 Typical High $489.78 | Facility | 53 · Discontinued | $60.26 | $128.82 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $269.15 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $141.25 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $77.62 | Professional | 53 · Discontinued | $53.70 | $56.23 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $977.24 Typical High $1,412.54 | Facility | None | $309.03 | $977.24 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $239.88 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $2,238.72 | $3,388.44 | $3,388.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $537.03 Typical High $2,454.71 | Facility | None | $295.12 | $537.03 | $2,454.71 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $169.82 Median $323.59 Typical High $1,230.27 | Facility | 52 · Reduced service | $169.82 | $323.59 | $1,230.27 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $128.82 Typical High $489.78 | Facility | 53 · Discontinued | $67.61 | $128.82 | $489.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $269.15 | $281.84 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $134.90 | $141.25 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $53.70 | $56.23 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $446.68 | $489.78 | $954.99 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $1,096.48 Typical High $2,454.71 | Facility | None | $338.84 | $1,096.48 | $2,454.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $363.08 | $602.56 | $794.33 |
United Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $446.68 | Facility | None | $162.18 | $190.55 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $190.55 | $190.55 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $181.97 | $181.97 | $234.42 |
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 $269.15 Median $281.84 Typical High $363.08 | Professional | 26 · Professional part | $269.15 | $281.84 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $281.84 Typical High $338.84 | Professional | 26 · Professional part | $269.15 | $281.84 | $338.84 |
Where Texas sits
The same service costs 8.3 times more in Texas than in Maine. 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
$2,239
TX $2,239ME $269
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.