How much rates vary
Facilitymedian $166 · 10th to 90th $35 to $741Professionalmedian $39 · 10th to 90th $6 to $479
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 $28.18 Median $39.81 Typical High $75.86 | Facility | None | $28.18 | $39.81 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $12.30 Median $28.84 Typical High $102.33 | Facility | TC · Technical part | $12.30 | $28.84 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $33.11 | $39.81 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $25.12 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.18 Typical High $29.51 | Professional | TC · Technical part | $11.48 | $13.18 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $36.31 | Professional | 26 · Professional part | $16.22 | $20.89 | $36.31 |
BCBS Texas Setting Facility Modifier None Typical Low $154.88 Median $436.52 Typical High $831.76 | Facility | None | $154.88 | $436.52 | $831.76 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $38.02 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $38.02 | $57.54 | $75.86 |
Christus Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $42.66 Typical High $67.61 | Facility | None | $17.78 | $42.66 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $91.20 | Professional | None (both parts) | $24.55 | $28.84 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $60.26 | Professional | 26 · Professional part | $14.79 | $18.62 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.96 Typical High $31.62 | Professional | TC · Technical part | $9.12 | $10.96 | $31.62 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $275.42 Typical High $794.33 | Facility | None | $50.12 | $275.42 | $794.33 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $30.20 Typical High $109.65 | Facility | TC · Technical part | $14.13 | $30.20 | $109.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $104.71 | Professional | None (both parts) | $33.11 | $42.66 | $104.71 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $27.54 | $69.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.80 Typical High $31.62 | Professional | TC · Technical part | $11.48 | $13.80 | $31.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $28.84 Typical High $64.57 | Professional | None (both parts) | $5.37 | $28.84 | $64.57 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $56.23 Typical High $114.82 | Professional | None (both parts) | $23.44 | $56.23 | $114.82 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $53.70 Typical High $85.11 | Facility | None | $19.50 | $53.70 | $85.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $102.33 | Professional | None (both parts) | $24.55 | $28.84 | $102.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $60.26 | Professional | 26 · Professional part | $14.45 | $18.62 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $31.62 | Professional | TC · Technical part | $8.71 | $10.96 | $31.62 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $354.81 | Facility | None | $257.04 | $269.15 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $114.82 | Professional | None (both parts) | $33.11 | $45.71 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $75.86 | Professional | 26 · Professional part | $21.88 | $30.20 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.49 Typical High $39.81 | Professional | TC · Technical part | $11.75 | $15.49 | $39.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $52.48 | Professional | None (both parts) | $23.44 | $23.44 | $52.48 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $32.36 | Professional | 26 · Professional part | $15.14 | $15.14 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $19.95 | Professional | TC · Technical part | $8.32 | $8.32 | $19.95 |
9 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 $7.76 Median $20.42 Typical High $54.95 | Facility | 52 · Reduced service | $7.76 | $20.42 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $8.13 Typical High $21.88 | Facility | 53 · Discontinued | $3.09 | $8.13 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $21.38 | Professional | 52 · Reduced service | $16.60 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.76 | $8.51 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.08 Median $16.98 Typical High $54.95 | Facility | 52 · Reduced service | $7.08 | $16.98 | $54.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $7.24 Typical High $21.88 | Facility | 53 · Discontinued | $3.09 | $7.24 | $21.88 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | 59 · Distinct service | $524.81 | $524.81 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.98 Typical High $21.38 | Professional | 52 · Reduced service | $16.22 | $16.98 | $21.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $6.76 | $8.51 |
Where Texas sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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
$44.67
WI $112NV $34.67
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.