How much rates vary
Facilitymedian $68 · 10th to 90th $29 to $178Professionalmedian $32 · 10th to 90th $6 to $282
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 $18.62 Median $22.91 Typical High $46.77 | Facility | None | $18.62 | $22.91 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $33.11 Typical High $131.83 | Facility | TC · Technical part | $15.85 | $33.11 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $24.55 Typical High $61.66 | Professional | None (both parts) | $19.05 | $24.55 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $5.01 Typical High $9.33 | Professional | 26 · Professional part | $4.17 | $5.01 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $42.66 | Professional | TC · Technical part | $14.79 | $18.20 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $30.90 | Professional | None (both parts) | $16.22 | $16.22 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.39 Typical High $6.92 | Professional | 26 · Professional part | $3.24 | $3.39 | $6.92 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $87.10 Typical High $158.49 | Facility | None | $32.36 | $87.10 | $158.49 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $3.63 Median $17.78 Typical High $45.71 | Professional | None (both parts) | $3.63 | $17.78 | $45.71 |
Baylor Scott & White Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $144.54 | Facility | None | $30.90 | $37.15 | $144.54 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $21.88 Median $37.15 Typical High $43.65 | Professional | None (both parts) | $21.88 | $37.15 | $43.65 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $6.61 | Professional | 26 · Professional part | $6.31 | $6.31 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $57.54 Typical High $114.82 | Facility | None | $24.55 | $57.54 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.38 Typical High $63.10 | Professional | None (both parts) | $14.79 | $17.38 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.63 Typical High $14.45 | Professional | 26 · Professional part | $3.02 | $3.63 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.80 Typical High $50.12 | Professional | TC · Technical part | $11.48 | $13.80 | $50.12 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $269.15 | $269.15 | $281.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $223.87 | $234.42 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $138.04 Typical High $537.03 | Facility | None | $38.90 | $138.04 | $537.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $37.15 Typical High $141.25 | Facility | TC · Technical part | $16.22 | $37.15 | $141.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $83.18 | Professional | None (both parts) | $19.05 | $25.12 | $83.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $5.62 Typical High $26.92 | Professional | 26 · Professional part | $4.17 | $5.62 | $26.92 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $42.66 | Professional | TC · Technical part | $14.79 | $18.20 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $26.30 Typical High $36.31 | Professional | None (both parts) | $4.90 | $26.30 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.76 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $7.76 | $33.11 | $67.61 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $63.10 Typical High $114.82 | Facility | None | $24.55 | $63.10 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $14.79 Median $18.20 Typical High $85.11 | Professional | None (both parts) | $14.79 | $18.20 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.63 Typical High $14.45 | Professional | 26 · Professional part | $3.02 | $3.63 | $14.45 |
Providence Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.49 Typical High $48.98 | Professional | TC · Technical part | $11.48 | $13.49 | $48.98 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $31.62 Typical High $70.79 | Professional | None (both parts) | $19.05 | $31.62 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $5.75 Typical High $15.49 | Professional | 26 · Professional part | $4.27 | $5.75 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $23.99 Typical High $56.23 | Professional | TC · Technical part | $14.45 | $23.99 | $56.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None (both parts) | $22.39 | $22.39 | $30.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.02 Typical High $6.61 | Professional | 26 · Professional part | $3.02 | $3.02 | $6.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | TC · Technical part | $19.95 | $19.95 | $24.55 |
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 $9.33 Median $18.62 Typical High $70.79 | Facility | 52 · Reduced service | $9.33 | $18.62 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $7.41 Typical High $28.18 | Facility | 53 · Discontinued | $3.72 | $7.41 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.77 Typical High $12.59 | Professional | 52 · Reduced service | $9.55 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.89 Typical High $5.01 | Professional | 53 · Discontinued | $3.80 | $3.89 | $5.01 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.12 Median $18.62 Typical High $70.79 | Facility | 52 · Reduced service | $9.12 | $18.62 | $70.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $7.41 Typical High $28.18 | Facility | 53 · Discontinued | $3.63 | $7.41 | $28.18 |
Moda Health Setting Facility Modifier XS · Separate structure Typical Low $144.54 Median $151.36 Typical High $173.78 | Facility | XS · Separate structure | $144.54 | $151.36 | $173.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.77 Typical High $12.59 | Professional | 52 · Reduced service | $9.33 | $9.77 | $12.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.89 Typical High $5.01 | Professional | 53 · Discontinued | $3.72 | $3.89 | $5.01 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 28th of 51
$38.90
AK $123AR $28.18
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.