How much rates vary
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 $691.83 Median $2,290.87 Typical High $6,918.31 | Facility | None | $691.83 | $2,290.87 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $389.05 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $85.11 | $93.33 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $309.03 | $371.54 | $457.09 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $436.52 Typical High $1,258.93 | Facility | None | $229.09 | $436.52 | $1,258.93 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $75.86 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $75.86 | $288.40 | $501.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $302.00 | $446.68 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $107.15 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $338.84 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | 26 · Professional part | $630.96 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,630.27 | Professional | TC · Technical part | $2,344.23 | $2,344.23 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $5,623.41 | Facility | None | $467.74 | $1,995.26 | $5,623.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $416.87 | $457.09 | $562.34 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $93.33 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $323.59 | $371.54 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.88 Median $72.44 Typical High $389.05 | Professional | None (both parts) | $12.88 | $72.44 | $389.05 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $2,884.03 Typical High $3,981.07 | Facility | None | $467.74 | $2,884.03 | $3,981.07 |
Providence Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $316.23 | $446.68 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $89.13 | $107.15 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $407.38 | Professional | TC · Technical part | $223.87 | $338.84 | $407.38 |
United Setting Facility Modifier None Typical Low $181.97 Median $1,348.96 Typical High $2,691.53 | Facility | None | $181.97 | $1,348.96 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $229.09 | $331.13 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $95.50 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $239.88 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
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 $199.53 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $199.53 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $79.43 | $91.20 | $112.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $208.93 | $229.09 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $83.18 | $91.20 | $112.20 |
Where Texas sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 48th of 51
$282
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.