How much rates vary
Facilitymedian $138 · 10th to 90th $45 to $2,188Professionalmedian $74 · 10th to 90th $11 to $617
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 $69.18 Median $83.18 Typical High $83.18 | Facility | None | $69.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $104.71 | Professional | None (both parts) | $69.18 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $40.74 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $35.48 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $102.33 | Professional | None (both parts) | $87.10 | $100.00 | $102.33 |
BCBS Texas Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $1,047.13 | Facility | None | $34.67 | $61.66 | $1,047.13 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $43.65 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $43.65 | $81.28 | $147.91 |
Christus Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $77.62 Typical High $1,412.54 | Facility | None | $54.95 | $77.62 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $89.13 | $102.33 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $46.77 | $54.95 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $40.74 | $47.86 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $616.60 | $616.60 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | 26 · Professional part | $316.23 | $316.23 | $446.68 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $302.00 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $776.25 | Facility | None | $77.62 | $107.15 | $776.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $69.18 | $77.62 | $151.36 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $40.74 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $35.48 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $9.55 | $50.12 | $97.72 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $134.90 Typical High $3,801.89 | Facility | None | $63.10 | $134.90 | $3,801.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $89.13 | $104.71 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $56.23 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $40.74 | $47.86 | $74.13 |
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 $66.07 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $66.07 | $89.13 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $28.18 | $39.81 | $70.79 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
8 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 $34.67 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.48 Typical High $13.18 | Professional | 55 · Aftercare only | $10.47 | $11.48 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.76 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.92 | $7.76 | $8.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $38.02 Typical High $44.67 | Professional | 52 · Reduced service | $34.67 | $38.02 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $17.78 | Professional | 53 · Discontinued | $14.13 | $15.49 | $17.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.48 Typical High $13.18 | Professional | 55 · Aftercare only | $10.47 | $11.48 | $13.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.76 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.92 | $7.76 | $8.91 |
Where Texas sits
The same service costs 5.9 times more in Alaska 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· 50th of 51
$77.62
AK $331AL $56.23
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.