How much rates vary
Facilitymedian $447 · 10th to 90th $178 to $2,884Professionalmedian $191 · 10th to 90th $28 to $759
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 $2,238.72 Typical High $6,918.31 | Facility | None | $645.65 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $309.03 | $309.03 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $83.18 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $218.78 | $229.09 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $2,041.74 | Facility | None | $257.04 | $478.63 | $2,041.74 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $79.43 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $79.43 | $251.19 | $436.52 |
Christus Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $1,412.54 | Facility | None | $141.25 | $194.98 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $288.40 | $316.23 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $95.50 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $208.93 | $223.87 | $346.74 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $2,344.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | 26 · Professional part | $691.83 | $691.83 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,621.81 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $1,380.38 Typical High $5,128.61 | Facility | None | $331.13 | $1,380.38 | $5,128.61 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $309.03 | $309.03 | $426.58 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $83.18 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $218.78 | $229.09 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $93.33 Typical High $251.19 | Professional | None (both parts) | $17.78 | $93.33 | $251.19 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $416.87 Typical High $3,801.89 | Facility | None | $162.18 | $416.87 | $3,801.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $288.40 | $316.23 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $97.72 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $204.17 | $223.87 | $346.74 |
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 $223.87 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $223.87 | $309.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $91.20 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $213.80 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
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 $151.36 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $61.66 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $154.88 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $61.66 | $75.86 |
Where Texas sits
The same service costs 4.8 times more in Alaska 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
$219
AK $1,000UT $209
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.