How much rates vary
Facilitymedian $191 · 10th to 90th $68 to $407Professionalmedian $26 · 10th to 90th $7 to $195
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 $19.50 Median $23.99 Typical High $37.15 | Facility | None | $19.50 | $23.99 | $37.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $7.08 Typical High $10.72 | Facility | 26 · Professional part | $5.62 | $7.08 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $107.15 | Facility | TC · Technical part | $14.79 | $20.42 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $41.69 | Professional | None (both parts) | $19.50 | $25.12 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $12.02 | Professional | 26 · Professional part | $5.62 | $7.24 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $29.51 | Professional | TC · Technical part | $14.13 | $17.78 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.88 Typical High $29.51 | Professional | None (both parts) | $19.50 | $21.88 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.24 Typical High $16.60 | Professional | 26 · Professional part | $5.75 | $7.24 | $16.60 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $16.98 Typical High $19.95 | Professional | TC · Technical part | $11.75 | $16.98 | $19.95 |
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 $6.76 Median $22.91 Typical High $31.62 | Professional | None (both parts) | $6.76 | $22.91 | $31.62 |
Baylor Scott & White Setting Facility Modifier None Typical Low $28.84 Median $45.71 Typical High $549.54 | Facility | None | $28.84 | $45.71 | $549.54 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $28.18 Median $29.51 Typical High $42.66 | Professional | None (both parts) | $28.18 | $29.51 | $42.66 |
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 $8.51 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.51 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $147.91 Typical High $380.19 | Facility | None | $57.54 | $147.91 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $26.30 Typical High $45.71 | Professional | None (both parts) | $16.98 | $26.30 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $5.01 | $7.59 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $18.62 Typical High $30.90 | Professional | TC · Technical part | $12.02 | $18.62 | $30.90 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $44.67 | Professional | None (both parts) | $32.36 | $36.31 | $44.67 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $194.98 | $194.98 | $257.04 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $72.44 | $72.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $186.21 | $186.21 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $281.84 Typical High $549.54 | Facility | None | $70.79 | $281.84 | $549.54 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $7.08 Typical High $10.96 | Facility | 26 · Professional part | $5.62 | $7.08 | $10.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $52.48 Typical High $338.84 | Facility | TC · Technical part | $16.60 | $52.48 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $45.71 | Professional | None (both parts) | $19.50 | $25.12 | $45.71 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.41 Typical High $16.98 | Professional | 26 · Professional part | $5.62 | $7.41 | $16.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $30.20 | Professional | TC · Technical part | $14.13 | $17.78 | $30.20 |
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 Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $1,698.24 | Facility | None | $645.65 | $1,698.24 | $1,698.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $23.44 Typical High $54.95 | Professional | None (both parts) | $9.12 | $23.44 | $54.95 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $89.13 Typical High $407.38 | Facility | None | $29.51 | $89.13 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.98 Median $26.30 Typical High $45.71 | Professional | None (both parts) | $16.98 | $26.30 | $45.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $14.13 | Professional | 26 · Professional part | $5.01 | $7.59 | $14.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $18.20 Typical High $28.18 | Professional | TC · Technical part | $12.02 | $18.20 | $28.18 |
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 $22.39 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $22.39 | $28.18 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $8.91 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $28.18 | Professional | TC · Technical part | $15.14 | $19.05 | $28.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $20.89 | $20.89 | $20.89 |
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 $19.95 Median $22.91 Typical High $28.18 | Professional | 59 · Distinct service | $19.95 | $22.91 | $28.18 |
Where Texas sits
The same service costs 5.0 times more in Vermont than in New York. 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· 46th of 51
$27.54
VT $110NY $21.88
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.