How much rates vary
Facilitymedian $200 · 10th to 90th $69 to $501Professionalmedian $29 · 10th to 90th $8 to $178
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 $21.88 Median $26.92 Typical High $41.69 | Facility | None | $21.88 | $26.92 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $12.30 | Facility | 26 · Professional part | $6.76 | $8.51 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $109.65 | Facility | TC · Technical part | $15.85 | $19.50 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | None (both parts) | $21.88 | $28.18 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $6.76 | $8.71 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $15.14 | $19.50 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $26.30 Typical High $33.88 | Professional | None (both parts) | $19.50 | $26.30 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $19.05 | Professional | 26 · Professional part | $6.76 | $8.32 | $19.05 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $21.88 | Professional | TC · Technical part | $14.79 | $18.20 | $21.88 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $354.81 | Facility | None | $79.43 | $204.17 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $8.13 Median $25.70 Typical High $35.48 | Professional | None (both parts) | $8.13 | $25.70 | $35.48 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $31.62 | $33.11 | $44.67 |
Christus Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.00 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $147.91 Typical High $380.19 | Facility | None | $63.10 | $147.91 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $19.05 | $28.84 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $5.89 | $9.12 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $13.18 | $19.95 | $33.11 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $36.31 | $40.74 | $50.12 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $213.80 | $213.80 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $66.07 | $83.18 | $83.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $204.17 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $288.40 Typical High $630.96 | Facility | None | $79.43 | $288.40 | $630.96 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $12.88 | Facility | 26 · Professional part | $6.76 | $8.51 | $12.88 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $97.72 Typical High $354.81 | Facility | TC · Technical part | $17.78 | $97.72 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $56.23 | Professional | None (both parts) | $21.88 | $28.18 | $56.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $20.42 | Professional | 26 · Professional part | $6.76 | $8.71 | $20.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $15.14 | $19.50 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $33.88 Typical High $81.28 | Professional | None (both parts) | $10.96 | $33.88 | $81.28 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $97.72 Typical High $407.38 | Facility | None | $31.62 | $97.72 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $19.05 | $28.84 | $50.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.12 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $9.12 | $16.60 |
Providence Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.50 Typical High $30.90 | Professional | TC · Technical part | $13.18 | $19.50 | $30.90 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $25.12 | $31.62 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $10.72 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $16.60 | $20.89 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $22.39 Typical High $25.12 | Professional | 59 · Distinct service | $21.38 | $22.39 | $25.12 |
Where Texas sits
The same service costs 17.0 times more in Vermont than in Florida. 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
$30.20
VT $447FL $26.30
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.