How much rates vary
Facilitymedian $245 · 10th to 90th $135 to $2,884Professionalmedian $129 · 10th to 90th $19 to $631
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 $645.65 Median $2,398.83 Typical High $6,918.31 | Facility | None | $645.65 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $229.09 | $234.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $75.86 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $151.36 | $162.18 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $181.97 | $181.97 | $229.09 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $1,202.26 | Facility | None | $114.82 | $204.17 | $1,202.26 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $70.79 | $186.21 | $323.59 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $1,412.54 | Facility | None | $123.03 | $173.78 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $213.80 | $234.42 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $87.10 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $138.04 | $158.49 | $223.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 26 · Professional part | $588.84 | $588.84 | $645.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $1,584.89 Typical High $5,248.07 | Facility | None | $251.19 | $1,584.89 | $5,248.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $229.09 | $234.42 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $77.62 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $162.18 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.75 Median $63.10 Typical High $162.18 | Professional | None (both parts) | $11.75 | $63.10 | $162.18 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $3,801.89 | Facility | None | $141.25 | $338.84 | $3,801.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $213.80 | $234.42 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $87.10 | $131.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $158.49 | $218.78 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $371.54 | Professional | None (both parts) | $162.18 | $218.78 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $138.04 | $239.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
4 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 52 · Reduced service Typical Low $114.82 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $46.77 | $57.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $117.49 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $46.77 | $57.54 |
Where Texas sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 50th of 51
$145
WI $708UT $135
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.