How much rates vary
Facilitymedian $52 · 10th to 90th $24 to $145Professionalmedian $40 · 10th to 90th $9 to $339
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 $31.62 Median $42.66 Typical High $56.23 | Facility | None | $31.62 | $42.66 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $36.31 Typical High $138.04 | Facility | TC · Technical part | $15.49 | $36.31 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $83.18 | Professional | None (both parts) | $33.11 | $39.81 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $18.20 | $21.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.49 Typical High $33.88 | Professional | TC · Technical part | $14.13 | $15.49 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Texas Setting Facility Modifier None Typical Low $25.70 Median $74.13 Typical High $144.54 | Facility | None | $25.70 | $74.13 | $144.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $16.22 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $16.22 | $40.74 | $74.13 |
Baylor Scott & White Setting Facility Modifier None Typical Low $52.48 Median $53.70 Typical High $67.61 | Facility | None | $52.48 | $53.70 | $67.61 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $51.29 | $61.66 | $91.20 |
Christus Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $39.81 Typical High $77.62 | Facility | None | $8.71 | $39.81 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.18 Typical High $89.13 | Professional | None (both parts) | $21.38 | $28.18 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $52.48 | Professional | 26 · Professional part | $13.49 | $16.22 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $12.30 Typical High $38.02 | Professional | TC · Technical part | $6.92 | $12.30 | $38.02 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $338.84 | $338.84 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $199.53 Typical High $323.59 | Facility | None | $30.90 | $199.53 | $323.59 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $36.31 Typical High $138.04 | Facility | TC · Technical part | $17.78 | $36.31 | $138.04 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $33.11 | $42.66 | $85.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $23.99 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $16.22 | $35.48 |
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 $27.54 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $27.54 | $53.70 | $109.65 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $45.71 Typical High $87.10 | Facility | None | $10.47 | $45.71 | $87.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.18 Typical High $102.33 | Professional | None (both parts) | $21.38 | $28.18 | $102.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $52.48 | Professional | 26 · Professional part | $13.49 | $15.85 | $52.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $12.30 Typical High $37.15 | Professional | TC · Technical part | $6.92 | $12.30 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $112.20 | Professional | None (both parts) | $30.90 | $44.67 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $69.18 | Professional | 26 · Professional part | $19.05 | $25.70 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $16.60 Typical High $45.71 | Professional | TC · Technical part | $11.48 | $16.60 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $51.29 | Professional | None (both parts) | $21.88 | $21.88 | $51.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $13.18 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $22.91 | Professional | TC · Technical part | $8.71 | $8.71 | $22.91 |
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 $8.91 Median $21.38 Typical High $67.61 | Facility | 52 · Reduced service | $8.91 | $21.38 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $8.51 Typical High $27.54 | Facility | 53 · Discontinued | $3.55 | $8.51 | $27.54 |
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 $8.91 Median $18.62 Typical High $67.61 | Facility | 52 · Reduced service | $8.91 | $18.62 | $67.61 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $7.41 Typical High $27.54 | Facility | 53 · Discontinued | $3.55 | $7.41 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.98 Typical High $21.38 | Professional | 52 · Reduced service | $15.85 | $16.98 | $21.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.76 Typical High $8.51 | Professional | 53 · Discontinued | $6.31 | $6.76 | $8.51 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 46th of 51
$40.74
AK $141LA $30.20
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.