How much rates vary
Facilitymedian $174 · 10th to 90th $63 to $324Professionalmedian $89 · 10th to 90th $17 to $1,349
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 $87.10 Median $95.50 Typical High $117.49 | Facility | None | $87.10 | $95.50 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $162.18 Typical High $616.60 | Facility | TC · Technical part | $69.18 | $162.18 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $89.13 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $25.12 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $69.18 | $97.72 |
BCBS Texas Setting Facility Modifier None Typical Low $64.57 Median $173.78 Typical High $309.03 | Facility | None | $64.57 | $173.78 | $309.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $47.86 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $47.86 | $85.11 | $218.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $181.97 Typical High $354.81 | Facility | None | $56.23 | $181.97 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $239.88 | Professional | None (both parts) | $54.95 | $83.18 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $66.07 | Professional | 26 · Professional part | $16.98 | $19.95 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $60.26 Typical High $173.78 | Professional | TC · Technical part | $37.15 | $60.26 | $173.78 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | 26 · Professional part | $269.15 | $269.15 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $338.84 | Facility | None | $89.13 | $141.25 | $338.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $162.18 Typical High $616.60 | Facility | TC · Technical part | $79.43 | $162.18 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $87.10 | $95.50 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $25.12 | $51.29 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $69.18 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $69.18 Typical High $162.18 | Professional | None (both parts) | $14.45 | $69.18 | $162.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $38.90 | $151.36 | $295.12 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $181.97 Typical High $389.05 | Facility | None | $64.57 | $181.97 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $281.84 | Professional | None (both parts) | $54.95 | $83.18 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $66.07 | Professional | 26 · Professional part | $16.98 | $19.95 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $37.15 | $64.57 | $169.82 |
United Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $107.15 | Facility | None | $79.43 | $81.28 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $112.20 Typical High $281.84 | Professional | None (both parts) | $67.61 | $112.20 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $83.18 | Professional | 26 · Professional part | $22.39 | $32.36 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $79.43 Typical High $199.53 | Professional | TC · Technical part | $45.71 | $79.43 | $199.53 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | None (both parts) | $53.70 | $53.70 | $141.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $16.22 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $107.15 | Professional | TC · Technical part | $37.15 | $37.15 | $107.15 |
8 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 $39.81 Median $81.28 Typical High $309.03 | Facility | 52 · Reduced service | $39.81 | $81.28 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $32.36 Typical High $123.03 | Facility | 53 · Discontinued | $15.85 | $32.36 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $18.20 | $23.44 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $81.28 Typical High $309.03 | Facility | 52 · Reduced service | $39.81 | $81.28 | $309.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $32.36 Typical High $123.03 | Facility | 53 · Discontinued | $15.85 | $32.36 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $45.71 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $23.44 | Professional | 53 · Discontinued | $17.38 | $18.20 | $23.44 |
Where Texas sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 47th of 51
$102
AK $331AL $57.54
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.