How much rates vary
Facilitymedian $1,072 · 10th to 90th $447 to $3,162Professionalmedian $316 · 10th to 90th $54 to $3,311
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 $245.47 Median $295.12 Typical High $363.08 | Facility | None | $245.47 | $295.12 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $562.34 Typical High $2,041.74 | Facility | TC · Technical part | $239.88 | $562.34 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $269.15 | $295.12 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $43.65 | $50.12 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $239.88 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
BCBS Texas Setting Facility Modifier None Typical Low $707.95 Median $1,949.84 Typical High $3,630.78 | Facility | None | $707.95 | $1,949.84 | $3,630.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $97.72 Median $213.80 Typical High $676.08 | Professional | None (both parts) | $97.72 | $213.80 | $676.08 |
Christus Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $794.33 Typical High $1,348.96 | Facility | None | $346.74 | $794.33 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $794.33 | Professional | None (both parts) | $186.21 | $251.19 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $131.83 | Professional | 26 · Professional part | $34.67 | $40.74 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $660.69 | Professional | TC · Technical part | $151.36 | $213.80 | $660.69 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $4,168.69 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Professional | TC · Technical part | $2,951.21 | $2,951.21 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,584.89 | Facility | None | $331.13 | $630.96 | $1,584.89 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $562.34 Typical High $2,137.96 | Facility | TC · Technical part | $275.42 | $562.34 | $2,137.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $724.44 | Professional | None (both parts) | $269.15 | $295.12 | $724.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $53.70 | $131.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $239.88 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $75.86 Typical High $457.09 | Professional | None (both parts) | $12.02 | $75.86 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $79.43 | $489.78 | $977.24 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $933.25 Typical High $1,348.96 | Facility | None | $288.40 | $933.25 | $1,348.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $933.25 | Professional | None (both parts) | $190.55 | $251.19 | $933.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $131.83 | Professional | 26 · Professional part | $34.67 | $39.81 | $131.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $660.69 | Professional | TC · Technical part | $151.36 | $204.17 | $660.69 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,659.59 | Facility | None | $1,230.27 | $1,258.93 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $870.96 | Professional | None (both parts) | $218.78 | $398.11 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $162.18 | Professional | 26 · Professional part | $46.77 | $63.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $707.95 | Professional | TC · Technical part | $169.82 | $316.23 | $707.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $281.84 | $281.84 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $31.62 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $251.19 | $251.19 | $389.05 |
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 $138.04 Median $281.84 Typical High $1,071.52 | Facility | 52 · Reduced service | $138.04 | $281.84 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $114.82 Typical High $426.58 | Facility | 53 · Discontinued | $54.95 | $114.82 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $54.95 | $56.23 | $72.44 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $138.04 Median $281.84 Typical High $1,071.52 | Facility | 52 · Reduced service | $138.04 | $281.84 | $1,071.52 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $114.82 Typical High $426.58 | Facility | 53 · Discontinued | $54.95 | $114.82 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $134.90 | $141.25 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $54.95 | $56.23 | $72.44 |
Where Texas sits
The same service costs 11.5 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· 41st of 51
$398
AK $1,778AL $155
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.