How much rates vary
Facilitymedian $23 · 10th to 90th $2 to $38Professionalmedian $12 · 10th to 90th $9 to $26
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 $0.02 Median $0.06 Typical High $0.08 | Facility | None | $0.02 | $0.06 | $0.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $173.78 | Professional | None (both parts) | $5.01 | $5.01 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $5.13 Median $8.32 Typical High $20.42 | Professional | None (both parts) | $5.13 | $8.32 | $20.42 |
BCBS Texas Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $50.12 | Facility | None | $11.75 | $25.70 | $50.12 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | None (both parts) | $22.91 | $22.91 | $24.55 |
Christus Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.91 Typical High $2.24 | Facility | None | $1.86 | $1.91 | $2.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $29.51 Typical High $43.65 | Professional | None (both parts) | $12.30 | $29.51 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $39.81 | Professional | None (both parts) | $20.42 | $22.91 | $39.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $38.90 | Professional | None (both parts) | $20.42 | $22.91 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $95.50 | Facility | None | $19.50 | $28.84 | $95.50 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $22.91 | Professional | None (both parts) | $5.01 | $5.01 | $22.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.91 Median $12.88 Typical High $16.98 | Professional | None (both parts) | $8.91 | $12.88 | $16.98 |
Providence Setting Facility Modifier None Typical Low $1.86 Median $19.50 Typical High $128.82 | Facility | None | $1.86 | $19.50 | $128.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.30 Median $19.50 Typical High $43.65 | Professional | None (both parts) | $12.30 | $19.50 | $43.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
United Setting Professional Modifier None (both parts) Typical Low $9.55 Median $10.23 Typical High $23.99 | Professional | None (both parts) | $9.55 | $10.23 | $23.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $7.94 Median $12.30 Typical High $12.30 | Professional | None (both parts) | $7.94 | $12.30 | $12.30 |
3 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 Facility Modifier 52 · Reduced service Typical Low $0.03 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.03 | $0.03 | $0.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.48 Typical High $13.49 | Professional | TC · Technical part | $9.55 | $11.48 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.22 Typical High $38.02 | Professional | TC · Technical part | $9.55 | $11.22 | $38.02 |
Where Texas sits
The same service costs 12.3 times more in Alaska than in Georgia. 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· 27th of 51
$22.91
AK $100GA $8.13
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.