How much rates vary
Facilitymedian $214 · 10th to 90th $78 to $398Professionalmedian $145 · 10th to 90th $22 to $1,585
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 $144.54 Median $162.18 Typical High $194.98 | Facility | None | $144.54 | $162.18 | $194.98 |
Aetna 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 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $147.91 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $74.13 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $251.19 | Professional | None (both parts) | $70.79 | $70.79 | $251.19 |
BCBS Texas Setting Facility Modifier None Typical Low $64.57 Median $190.55 Typical High $338.84 | Facility | None | $64.57 | $190.55 | $338.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $81.28 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $81.28 | $158.49 | $323.59 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $398.11 | Facility | None | $109.65 | $245.47 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $416.87 | Professional | None (both parts) | $104.71 | $128.82 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $218.78 | Professional | 26 · Professional part | $53.70 | $66.07 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $199.53 | Professional | TC · Technical part | $46.77 | $60.26 | $199.53 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 26 · Professional part | $891.25 | $891.25 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | TC · Technical part | $812.83 | $812.83 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $446.68 | Facility | None | $151.36 | $218.78 | $446.68 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $177.83 Typical High $660.69 | Facility | TC · Technical part | $87.10 | $177.83 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $147.91 | $158.49 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $79.43 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $74.13 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $93.33 Typical High $218.78 | Professional | None (both parts) | $17.78 | $93.33 | $218.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $114.82 | $229.09 | $457.09 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $446.68 | Facility | None | $120.23 | $281.84 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $457.09 | Professional | None (both parts) | $104.71 | $128.82 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $218.78 | Professional | 26 · Professional part | $53.70 | $66.07 | $218.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $190.55 | Professional | TC · Technical part | $46.77 | $58.88 | $190.55 |
United Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $107.15 | Facility | None | $79.43 | $81.28 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $489.78 | Professional | None (both parts) | $138.04 | $190.55 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $281.84 | Professional | 26 · Professional part | $75.86 | $107.15 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $58.88 | $89.13 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $109.65 | $109.65 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $51.29 | $112.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $58.88 | $58.88 | $104.71 |
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 $46.77 Median $97.72 Typical High $331.13 | Facility | 52 · Reduced service | $46.77 | $97.72 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $38.90 Typical High $134.90 | Facility | 53 · Discontinued | $18.62 | $38.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $38.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $91.20 Typical High $331.13 | Facility | 52 · Reduced service | $42.66 | $91.20 | $331.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $36.31 Typical High $134.90 | Facility | 53 · Discontinued | $17.38 | $36.31 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $72.44 | $75.86 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $28.84 | $30.20 | $38.90 |
Where Texas sits
The same service costs 6.5 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· 47th of 51
$151
AK $617AL $95.50
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.