How much rates vary
Facilitymedian $479 · 10th to 90th $132 to $3,890Professionalmedian $129 · 10th to 90th $18 to $692
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 $151.36 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $151.36 | $204.17 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $38.90 | $40.74 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $162.18 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $107.15 | $147.91 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $33.11 | $33.11 | $38.90 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
BCBS Texas Setting Facility Modifier None Typical Low $83.18 Median $891.25 Typical High $8,709.64 | Facility | None | $83.18 | $891.25 | $8,709.64 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $31.62 | $120.23 | $234.42 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Christus Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $1,995.26 Typical High $2,691.53 | Facility | None | $50.12 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $162.18 | $194.98 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $45.71 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $144.54 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $691.83 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $1,000.00 Typical High $4,677.35 | Facility | None | $213.80 | $1,000.00 | $4,677.35 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $151.36 | $204.17 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $41.69 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $162.18 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $74.13 Typical High $162.18 | Professional | None (both parts) | $14.45 | $74.13 | $162.18 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $309.03 Typical High $2,691.53 | Facility | None | $50.12 | $309.03 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $158.49 | $194.98 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $45.71 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $109.65 | $144.54 | $186.21 |
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 $102.33 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $102.33 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $43.65 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $114.82 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
5 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 $97.72 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $38.90 | $40.74 | $50.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 59 · Distinct service | $147.91 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $102.33 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $38.90 | $40.74 | $50.12 |
Where Texas sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 51st of 51
$135
AK $759TX $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.