How much rates vary
Facilitymedian $224 · 10th to 90th $78 to $363Professionalmedian $66 · 10th to 90th $12 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 $58.88 Median $64.57 Typical High $77.62 | Facility | None | $58.88 | $64.57 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $117.49 Typical High $436.52 | Facility | TC · Technical part | $50.12 | $117.49 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $58.88 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $13.18 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $48.98 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $91.20 | Professional | None (both parts) | $25.12 | $26.30 | $91.20 |
BCBS Texas Setting Facility Modifier None Typical Low $85.11 Median $218.78 Typical High $407.38 | Facility | None | $85.11 | $218.78 | $407.38 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.47 Median $45.71 Typical High $117.49 | Professional | None (both parts) | $10.47 | $45.71 | $117.49 |
Christus Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $125.89 Typical High $194.98 | Facility | None | $51.29 | $125.89 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $154.88 | Professional | None (both parts) | $37.15 | $46.77 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $37.15 | Professional | 26 · Professional part | $8.91 | $11.48 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $117.49 | Professional | TC · Technical part | $25.70 | $35.48 | $117.49 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | None (both parts) | $630.96 | $630.96 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | TC · Technical part | $501.19 | $501.19 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $165.96 | Facility | None | $58.88 | $85.11 | $165.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $117.49 Typical High $436.52 | Facility | TC · Technical part | $57.54 | $117.49 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $58.88 | $63.10 | $123.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $13.80 | $27.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $50.12 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $9.77 | $52.48 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $20.89 | $83.18 | $169.82 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $154.88 Typical High $234.42 | Facility | None | $58.88 | $154.88 | $234.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $169.82 | Professional | None (both parts) | $37.15 | $46.77 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $37.15 | Professional | 26 · Professional part | $8.91 | $11.48 | $37.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $117.49 | Professional | TC · Technical part | $26.30 | $35.48 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $79.43 Typical High $194.98 | Professional | None (both parts) | $52.48 | $79.43 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $47.86 | Professional | 26 · Professional part | $13.80 | $18.62 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $151.36 | Professional | TC · Technical part | $38.02 | $57.54 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $25.12 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $9.55 | $18.62 |
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 $29.51 Median $58.88 Typical High $218.78 | Facility | 52 · Reduced service | $29.51 | $58.88 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $23.44 Typical High $89.13 | Facility | 53 · Discontinued | $11.75 | $23.44 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $30.90 Typical High $38.90 | Professional | 52 · Reduced service | $29.51 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $15.85 | Professional | 53 · Discontinued | $12.02 | $12.30 | $15.85 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $28.84 Median $58.88 Typical High $218.78 | Facility | 52 · Reduced service | $28.84 | $58.88 | $218.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $23.44 Typical High $89.13 | Facility | 53 · Discontinued | $11.48 | $23.44 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $30.90 Typical High $38.90 | Professional | 52 · Reduced service | $29.51 | $30.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $15.85 | Professional | 53 · Discontinued | $11.75 | $12.30 | $15.85 |
Where Texas sits
The same service costs 4.0 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· 22nd of 51
$107
AK $234AL $58.88
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.