How much rates vary
Facilitymedian $158 · 10th to 90th $81 to $372Professionalmedian $65 · 10th to 90th $13 to $562
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 $52.48 Median $64.57 Typical High $109.65 | Facility | None | $52.48 | $64.57 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $81.28 Typical High $323.59 | Facility | TC · Technical part | $38.02 | $81.28 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $53.70 | $69.18 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $37.15 | Professional | 26 · Professional part | $16.98 | $20.42 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $43.65 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $46.77 | $63.10 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $26.30 | Professional | 26 · Professional part | $13.18 | $16.60 | $26.30 |
BCBS Texas Setting Facility Modifier None Typical Low $81.28 Median $218.78 Typical High $371.54 | Facility | None | $81.28 | $218.78 | $371.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.79 Median $51.29 Typical High $131.83 | Professional | None (both parts) | $14.79 | $51.29 | $131.83 |
Baylor Scott & White Setting Facility Modifier None Typical Low $63.10 Median $134.90 Typical High $5,011.87 | Facility | None | $63.10 | $134.90 | $5,011.87 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $69.18 | $95.50 | $138.04 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $128.82 Typical High $194.98 | Facility | None | $38.90 | $128.82 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $158.49 | Professional | None (both parts) | $33.88 | $46.77 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $48.98 | Professional | 26 · Professional part | $10.72 | $14.45 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $100.00 | Professional | TC · Technical part | $23.44 | $33.11 | $100.00 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $81.28 | $114.82 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $562.34 | $562.34 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $173.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $588.84 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $218.78 Typical High $501.19 | Facility | None | $85.11 | $218.78 | $501.19 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $117.49 Typical High $346.74 | Facility | TC · Technical part | $43.65 | $117.49 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $53.70 | $70.79 | $141.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.12 Typical High $63.10 | Professional | 26 · Professional part | $16.98 | $25.12 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $36.31 | $46.77 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $47.86 Typical High $97.72 | Professional | None (both parts) | $9.77 | $47.86 | $97.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $46.77 | $104.71 | $194.98 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $144.54 Typical High $269.15 | Facility | None | $45.71 | $144.54 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $204.17 | Professional | None (both parts) | $33.88 | $47.86 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $48.98 | Professional | 26 · Professional part | $10.72 | $14.45 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $100.00 | Professional | TC · Technical part | $23.44 | $32.36 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $190.55 | Professional | None (both parts) | $53.70 | $74.13 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $58.88 | Professional | 26 · Professional part | $16.60 | $22.91 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $128.82 | Professional | TC · Technical part | $37.15 | $50.12 | $128.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $91.20 | Professional | None (both parts) | $38.02 | $38.02 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $12.02 | $26.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $64.57 | Professional | TC · Technical part | $25.70 | $25.70 | $64.57 |
13 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 $22.39 Median $45.71 Typical High $169.82 | Facility | 52 · Reduced service | $22.39 | $45.71 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $18.20 Typical High $69.18 | Facility | 53 · Discontinued | $8.91 | $18.20 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $27.54 Typical High $34.67 | Professional | 52 · Reduced service | $26.92 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $14.13 | Professional | 53 · Discontinued | $10.72 | $10.96 | $14.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $44.67 Median $44.67 Typical High $91.20 | Professional | 59 · Distinct service | $44.67 | $44.67 | $91.20 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | Q6 · Substitute physician, paid per time | $44.67 | $44.67 | $44.67 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $22.39 Median $45.71 Typical High $169.82 | Facility | 52 · Reduced service | $22.39 | $45.71 | $169.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $18.20 Typical High $69.18 | Facility | 53 · Discontinued | $8.91 | $18.20 | $69.18 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $117.49 Median $354.81 Typical High $741.31 | Facility | 59 · Distinct service | $117.49 | $354.81 | $741.31 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $28.84 Median $123.03 Typical High $199.53 | Facility | XU · Unusual separate service | $28.84 | $123.03 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $27.54 Typical High $34.67 | Professional | 52 · Reduced service | $26.30 | $27.54 | $34.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.96 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $10.96 | $14.13 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $28.18 Median $91.20 Typical High $194.98 | Professional | 59 · Distinct service | $28.18 | $91.20 | $194.98 |
Where Texas sits
The same service costs 5.9 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· 31st of 51
$87.10
AK $347AL $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.