How much rates vary
Facilitymedian $245 · 10th to 90th $52 to $490Professionalmedian $81 · 10th to 90th $14 to $398
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 $67.61 Median $87.10 Typical High $162.18 | Facility | None | $67.61 | $87.10 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $630.96 | Facility | TC · Technical part | $58.88 | $100.00 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $67.61 | $87.10 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $23.99 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $63.10 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $64.57 | $87.10 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | 26 · Professional part | $22.91 | $22.91 | $29.51 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $549.54 | Facility | None | $141.25 | $331.13 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.88 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $21.88 | $83.18 | $109.65 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $97.72 | $112.20 | $177.83 |
Christus Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $467.74 | Facility | None | $125.89 | $302.00 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $60.26 | $89.13 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $16.22 | $24.55 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $66.07 | $117.49 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $676.08 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $181.97 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $489.78 | $724.44 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $295.12 Typical High $512.86 | Facility | None | $87.10 | $295.12 | $512.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $389.05 | Facility | TC · Technical part | $63.10 | $114.82 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $67.61 | $87.10 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $23.99 | $38.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $63.10 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $52.48 Typical High $131.83 | Professional | None (both parts) | $10.00 | $52.48 | $131.83 |
Oscar Health Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $316.23 | Facility | None | $128.82 | $316.23 | $316.23 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $295.12 Typical High $501.19 | Facility | None | $107.15 | $295.12 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $60.26 | $89.13 | $162.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $23.99 | $39.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $66.07 | $102.33 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $83.18 | $109.65 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $30.20 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $79.43 | $117.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $75.86 Median $89.13 Typical High $95.50 | Professional | 59 · Distinct service | $75.86 | $89.13 | $95.50 |
Ambetter Setting Professional Modifier XE · Separate encounter Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | XE · Separate encounter | $91.20 | $91.20 | $91.20 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $354.81 Median $489.78 Typical High $1,000.00 | Facility | 59 · Distinct service | $354.81 | $489.78 | $1,000.00 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $186.21 Median $269.15 Typical High $426.58 | Facility | XU · Unusual separate service | $186.21 | $269.15 | $426.58 |
Where Texas sits
The same service costs 3.7 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
$83.18
AK $309TX $83.18
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.