How much rates vary
Facilitymedian $324 · 10th to 90th $107 to $724Professionalmedian $83 · 10th to 90th $14 to $2,239
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 $83.18 Median $93.33 Typical High $112.20 | Facility | None | $83.18 | $93.33 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $89.13 Typical High $338.84 | Facility | TC · Technical part | $38.90 | $89.13 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $50.12 | $50.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | TC · Technical part | $36.31 | $37.15 | $47.86 |
BCBS Texas Setting Facility Modifier None Typical Low $199.53 Median $457.09 Typical High $794.33 | Facility | None | $199.53 | $457.09 | $794.33 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $43.65 Median $77.62 Typical High $281.84 | Professional | None (both parts) | $43.65 | $77.62 | $281.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $75.86 | $75.86 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $549.54 | Facility | None | $81.28 | $138.04 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $263.03 | Professional | None (both parts) | $63.10 | $79.43 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $42.66 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $114.82 | Professional | TC · Technical part | $25.70 | $33.11 | $114.82 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,238.72 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $831.76 | $831.76 | $831.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $134.90 Typical High $346.74 | Facility | None | $87.10 | $134.90 | $346.74 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $89.13 Typical High $338.84 | Facility | TC · Technical part | $43.65 | $89.13 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $208.93 | Professional | None (both parts) | $87.10 | $87.10 | $208.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $51.29 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $37.15 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.75 Median $63.10 Typical High $125.89 | Professional | None (both parts) | $11.75 | $63.10 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $69.18 | $141.25 | $295.12 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $549.54 | Facility | None | $87.10 | $154.88 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $316.23 | Professional | None (both parts) | $63.10 | $89.13 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $42.66 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $109.65 | Professional | TC · Technical part | $25.70 | $33.11 | $109.65 |
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 $83.18 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $83.18 | $138.04 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $177.83 | Professional | 26 · Professional part | $50.12 | $69.18 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $131.83 | Professional | TC · Technical part | $32.36 | $53.70 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $77.62 | $77.62 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $33.88 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $44.67 | $58.88 |
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 $23.99 Median $56.23 Typical High $169.82 | Facility | 52 · Reduced service | $23.99 | $56.23 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $22.39 Typical High $67.61 | Facility | 53 · Discontinued | $9.55 | $22.39 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $43.65 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $22.39 | Professional | 53 · Discontinued | $17.38 | $17.38 | $22.39 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $21.88 Median $56.23 Typical High $169.82 | Facility | 52 · Reduced service | $21.88 | $56.23 | $169.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $22.39 Typical High $67.61 | Facility | 53 · Discontinued | $9.55 | $22.39 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $43.65 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $43.65 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.38 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $17.38 | $22.39 |
Where Texas sits
The same service costs 7.6 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· 50th of 51
$91.20
AK $457AL $60.26
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.