How much rates vary
Facilitymedian $302 · 10th to 90th $115 to $1,380Professionalmedian $98 · 10th to 90th $18 to $977
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 $81.28 Median $100.00 Typical High $123.03 | Facility | None | $81.28 | $100.00 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $158.49 Typical High $630.96 | Facility | TC · Technical part | $75.86 | $158.49 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $91.20 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $23.44 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $74.13 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $104.71 | Professional | None (both parts) | $67.61 | $75.86 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $16.60 | $42.66 |
BCBS Texas Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $1,621.81 | Facility | None | $281.84 | $794.33 | $1,621.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $45.71 | $77.62 | $194.98 |
Baylor Scott & White Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $575.44 | Facility | None | $141.25 | $144.54 | $575.44 |
Christus Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $147.91 Typical High $316.23 | Facility | None | $47.86 | $147.91 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $223.87 | Professional | None (both parts) | $53.70 | $75.86 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $69.18 | Professional | 26 · Professional part | $15.85 | $20.42 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $57.54 Typical High $169.82 | Professional | TC · Technical part | $33.88 | $57.54 | $169.82 |
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 $977.24 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $977.24 | $977.24 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 26 · Professional part | $251.19 | $251.19 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | TC · Technical part | $758.58 | $758.58 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $309.03 | Facility | None | $77.62 | $181.97 | $309.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $177.83 Typical High $660.69 | Facility | TC · Technical part | $75.86 | $177.83 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $91.20 | $100.00 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $23.44 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $75.86 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $64.57 Typical High $131.83 | Professional | None (both parts) | $14.45 | $64.57 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $37.15 | $138.04 | $281.84 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $147.91 Typical High $371.54 | Facility | None | $54.95 | $147.91 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $251.19 | Professional | None (both parts) | $54.95 | $75.86 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $69.18 | Professional | 26 · Professional part | $15.85 | $20.42 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $57.54 Typical High $169.82 | Professional | TC · Technical part | $33.88 | $57.54 | $169.82 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $354.81 | Facility | None | $257.04 | $269.15 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $257.04 | Professional | None (both parts) | $58.88 | $102.33 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $83.18 | Professional | 26 · Professional part | $22.39 | $30.20 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $69.18 Typical High $181.97 | Professional | TC · Technical part | $34.67 | $69.18 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $131.83 | Professional | None (both parts) | $41.69 | $41.69 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $33.11 | Professional | 26 · Professional part | $16.60 | $16.60 | $33.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $97.72 | Professional | TC · Technical part | $25.12 | $25.12 | $97.72 |
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 $43.65 Median $89.13 Typical High $331.13 | Facility | 52 · Reduced service | $43.65 | $89.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $35.48 Typical High $131.83 | Facility | 53 · Discontinued | $17.38 | $35.48 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $18.62 | $19.05 | $24.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $43.65 Median $89.13 Typical High $331.13 | Facility | 52 · Reduced service | $43.65 | $89.13 | $331.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $35.48 Typical High $131.83 | Facility | 53 · Discontinued | $17.38 | $35.48 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $47.86 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $19.05 | $24.55 |
Where Texas sits
The same service costs 5.2 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· 35th of 51
$120
AK $309AL $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.