How much rates vary
Facilitymedian $1,995 · 10th to 90th $724 to $3,981Professionalmedian $3,548 · 10th to 90th $302 to $5,370
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 $549.54 Median $1,288.25 Typical High $3,890.45 | Facility | None | $549.54 | $1,288.25 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $2,818.38 | Professional | None (both parts) | $501.19 | $575.44 | $2,818.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
BCBS Texas Setting Facility Modifier None Typical Low $933.25 Median $2,454.71 Typical High $4,168.69 | Facility | None | $933.25 | $2,454.71 | $4,168.69 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,479.11 Typical High $2,238.72 | Facility | None | $489.78 | $1,479.11 | $2,238.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $3,548.13 | $5,370.32 | $5,370.32 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $4,466.84 Typical High $5,370.32 | Professional | TC · Technical part | $4,466.84 | $4,466.84 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $870.96 Typical High $3,890.45 | Facility | None | $478.63 | $870.96 | $3,890.45 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $724.44 Typical High $2,691.53 | Professional | None (both parts) | $537.03 | $724.44 | $2,691.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $776.25 Typical High $1,548.82 | Professional | None (both parts) | $724.44 | $776.25 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $1,778.28 Typical High $3,890.45 | Facility | None | $537.03 | $1,778.28 | $3,890.45 |
Providence Setting Professional Modifier None (both parts) Typical Low $724.44 Median $794.33 Typical High $1,258.93 | Professional | None (both parts) | $724.44 | $794.33 | $1,258.93 |
United Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $724.44 | Facility | None | $257.04 | $302.00 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $302.00 | $302.00 | $501.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $229.09 | $229.09 | $371.54 |
10 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 Facility Modifier 52 · Reduced service Typical Low $239.88 Median $512.86 Typical High $1,949.84 | Facility | 52 · Reduced service | $239.88 | $512.86 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $208.93 Typical High $776.25 | Facility | 53 · Discontinued | $95.50 | $208.93 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $446.68 Typical High $549.54 | Professional | 26 · Professional part | $436.52 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $223.87 Typical High $309.03 | Professional | 52 · Reduced service | $213.80 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $123.03 | Professional | 53 · Discontinued | $87.10 | $89.13 | $123.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $269.15 Median $512.86 Typical High $1,949.84 | Facility | 52 · Reduced service | $269.15 | $512.86 | $1,949.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $208.93 Typical High $776.25 | Facility | 53 · Discontinued | $109.65 | $208.93 | $776.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $446.68 Typical High $549.54 | Professional | 26 · Professional part | $436.52 | $446.68 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $223.87 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $223.87 | $288.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $114.82 | Professional | 53 · Discontinued | $87.10 | $89.13 | $114.82 |
Where Texas sits
The same service costs 10.2 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
$3,090
TX $3,090AL $302
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.