How much rates vary
Facilitymedian $389 · 10th to 90th $195 to $1,445Professionalmedian $123 · 10th to 90th $23 to $1,072
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 $102.33 Median $134.90 Typical High $213.80 | Facility | None | $102.33 | $134.90 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $199.53 Typical High $707.95 | Facility | TC · Technical part | $85.11 | $199.53 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $102.33 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $26.92 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $89.13 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $83.18 | $83.18 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $17.78 | $38.90 |
BCBS Texas Setting Facility Modifier None Typical Low $309.03 Median $831.76 Typical High $1,621.81 | Facility | None | $309.03 | $831.76 | $1,621.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $47.86 Median $91.20 Typical High $234.42 | Professional | None (both parts) | $47.86 | $91.20 | $234.42 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $64.57 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $64.57 | $181.97 | $234.42 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $288.40 Typical High $416.87 | Facility | None | $66.07 | $288.40 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $275.42 | Professional | None (both parts) | $58.88 | $87.10 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $64.57 | Professional | 26 · Professional part | $16.98 | $19.95 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $208.93 | Professional | TC · Technical part | $38.90 | $67.61 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $234.42 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $851.14 | $1,202.26 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $398.11 | Facility | None | $109.65 | $213.80 | $398.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $199.53 Typical High $758.58 | Facility | TC · Technical part | $95.50 | $199.53 | $758.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $102.33 | $128.82 | $263.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $29.51 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $95.50 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $19.95 | $91.20 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $39.81 | $173.78 | $354.81 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $309.03 Typical High $562.34 | Facility | None | $95.50 | $309.03 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $302.00 | Professional | None (both parts) | $58.88 | $89.13 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $64.57 | Professional | 26 · Professional part | $16.98 | $19.95 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $208.93 | Professional | TC · Technical part | $38.90 | $67.61 | $208.93 |
United Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $741.31 | Facility | None | $549.54 | $562.34 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $354.81 | Professional | None (both parts) | $104.71 | $138.04 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $81.28 | Professional | 26 · Professional part | $23.99 | $32.36 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $79.43 | $102.33 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $70.79 | $70.79 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $16.60 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $54.95 | $128.82 |
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 $48.98 Median $100.00 Typical High $371.54 | Facility | 52 · Reduced service | $48.98 | $100.00 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $39.81 Typical High $151.36 | Facility | 53 · Discontinued | $19.50 | $39.81 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $21.38 | $26.92 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $100.00 Typical High $371.54 | Facility | 52 · Reduced service | $48.98 | $100.00 | $371.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $39.81 Typical High $151.36 | Facility | 53 · Discontinued | $19.50 | $39.81 | $151.36 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $186.21 Median $263.03 Typical High $537.03 | Facility | 59 · Distinct service | $186.21 | $263.03 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $53.70 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $21.38 | $26.92 |
Where Texas sits
The same service costs 7.1 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· 37th of 51
$151
AK $417AL $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.