How much rates vary
Facilitymedian $1,413 · 10th to 90th $525 to $3,715Professionalmedian $3,802 · 10th to 90th $316 to $5,754
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 $501.19 Median $1,096.48 Typical High $4,073.80 | Facility | None | $501.19 | $1,096.48 | $4,073.80 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $257.04 Median $549.54 Typical High $2,041.74 | Facility | 52 · Reduced service | $257.04 | $549.54 | $2,041.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $218.78 Typical High $831.76 | Facility | 53 · Discontinued | $102.33 | $218.78 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $457.09 | $467.74 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $234.42 Typical High $323.59 | Professional | 52 · Reduced service | $229.09 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $93.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,659.59 Typical High $2,344.23 | Facility | None | $524.81 | $1,659.59 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $407.38 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $5,754.40 Typical High $5,754.40 | Professional | None (both parts) | $3,801.89 | $5,754.40 | $5,754.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,786.30 Median $4,786.30 Typical High $5,754.40 | Professional | TC · Technical part | $4,786.30 | $4,786.30 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $891.25 Typical High $4,073.80 | Facility | None | $501.19 | $891.25 | $4,073.80 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $288.40 Median $549.54 Typical High $2,041.74 | Facility | 52 · Reduced service | $288.40 | $549.54 | $2,041.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $218.78 Typical High $831.76 | Facility | 53 · Discontinued | $114.82 | $218.78 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $457.09 | $478.63 | $707.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $234.42 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $93.33 | $120.23 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $1,862.09 Typical High $4,073.80 | Facility | None | $575.44 | $1,862.09 | $4,073.80 |
Providence Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,000.00 Typical High $1,318.26 | Professional | None (both parts) | $602.56 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $758.58 | Facility | None | $275.42 | $316.23 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $316.23 | $316.23 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $302.00 | $302.00 | $398.11 |
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 $457.09 Median $467.74 Typical High $602.56 | Professional | 26 · Professional part | $457.09 | $467.74 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $467.74 Typical High $575.44 | Professional | 26 · Professional part | $457.09 | $467.74 | $575.44 |
Where Texas sits
The same service costs 10.0 times more in Texas than in Mississippi. 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
$3,802
TX $3,802MS $380
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.