How much rates vary
Facilitymedian $145 · 10th to 90th $49 to $363Professionalmedian $89 · 10th to 90th $17 to $708
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 $81.28 Typical High $141.25 | Facility | None | $67.61 | $81.28 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $117.49 Typical High $457.09 | Facility | TC · Technical part | $54.95 | $117.49 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $154.88 | Professional | None (both parts) | $66.07 | $75.86 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $19.05 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $58.88 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $54.95 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $14.45 | $27.54 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $41.69 | $79.43 |
BCBS Texas Setting Facility Modifier None Typical Low $54.95 Median $158.49 Typical High $275.42 | Facility | None | $54.95 | $158.49 | $275.42 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $13.80 Median $57.54 Typical High $151.36 | Professional | None (both parts) | $13.80 | $57.54 | $151.36 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $74.13 | $109.65 | $169.82 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | 26 · Professional part | $23.99 | $23.99 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $151.36 Typical High $251.19 | Facility | None | $57.54 | $151.36 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $177.83 | Professional | None (both parts) | $43.65 | $56.23 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $54.95 | Professional | 26 · Professional part | $11.75 | $14.13 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $43.65 | $131.83 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $89.13 | $125.89 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $707.95 | $707.95 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $162.18 | $162.18 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | TC · Technical part | $549.54 | $549.54 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $269.15 Typical High $512.86 | Facility | None | $89.13 | $269.15 | $512.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $120.23 Typical High $416.87 | Facility | TC · Technical part | $56.23 | $120.23 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $173.78 | Professional | None (both parts) | $66.07 | $81.28 | $173.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $70.79 | Professional | 26 · Professional part | $15.85 | $20.89 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $58.88 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $14.45 | $63.10 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $27.54 | $112.20 | $229.09 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $173.78 Typical High $288.40 | Facility | None | $69.18 | $173.78 | $288.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $194.98 | Professional | None (both parts) | $43.65 | $56.23 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $54.95 | Professional | 26 · Professional part | $11.75 | $14.13 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $43.65 | $131.83 |
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 $58.88 Median $85.11 Typical High $213.80 | Professional | None (both parts) | $58.88 | $85.11 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $57.54 | Professional | 26 · Professional part | $16.60 | $22.39 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $42.66 | $63.10 | $158.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $104.71 | Professional | None (both parts) | $39.81 | $39.81 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $11.22 | $24.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $79.43 | Professional | TC · Technical part | $28.18 | $28.18 | $79.43 |
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 $33.88 Median $64.57 Typical High $245.47 | Facility | 52 · Reduced service | $33.88 | $64.57 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $26.30 Typical High $97.72 | Facility | 53 · Discontinued | $13.49 | $26.30 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $44.67 | Professional | 52 · Reduced service | $33.88 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $17.78 | Professional | 53 · Discontinued | $13.49 | $14.13 | $17.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $31.62 Median $64.57 Typical High $245.47 | Facility | 52 · Reduced service | $31.62 | $64.57 | $245.47 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $26.30 Typical High $97.72 | Facility | 53 · Discontinued | $12.59 | $26.30 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $44.67 | Professional | 52 · Reduced service | $33.88 | $35.48 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $17.78 | Professional | 53 · Discontinued | $13.49 | $14.13 | $17.78 |
Where Texas sits
The same service costs 5.5 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· 38th of 51
$97.72
AK $269AL $48.98
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.