How much rates vary
Facilitymedian $331 · 10th to 90th $120 to $1,445Professionalmedian $74 · 10th to 90th $13 to $912
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 $70.79 Median $95.50 Typical High $114.82 | Facility | None | $70.79 | $95.50 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $114.82 Typical High $436.52 | Facility | TC · Technical part | $50.12 | $114.82 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $70.79 | $77.62 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $28.18 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $48.98 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $39.81 | $39.81 |
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 $54.95 Median $63.10 Typical High $158.49 | Professional | None (both parts) | $54.95 | $63.10 | $158.49 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $165.96 Typical High $263.03 | Facility | None | $72.44 | $165.96 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $213.80 | Professional | None (both parts) | $51.29 | $70.79 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $81.28 | Professional | 26 · Professional part | $19.05 | $26.30 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $131.83 | Professional | TC · Technical part | $32.36 | $42.66 | $131.83 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $107.15 | $107.15 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $977.24 | Professional | None (both parts) | $912.01 | $912.01 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $338.84 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | TC · Technical part | $562.34 | $562.34 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $269.15 Typical High $6,918.31 | Facility | None | $74.13 | $269.15 | $6,918.31 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $114.82 Typical High $436.52 | Facility | TC · Technical part | $56.23 | $114.82 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $70.79 | $83.18 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $26.92 | $30.20 | $61.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $46.77 | $50.12 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $47.86 Typical High $97.72 | Professional | None (both parts) | $9.77 | $47.86 | $97.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $44.67 | $120.23 | $239.88 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $186.21 Typical High $302.00 | Facility | None | $75.86 | $186.21 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $251.19 | Professional | None (both parts) | $51.29 | $74.13 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $81.28 | Professional | 26 · Professional part | $19.05 | $26.30 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $131.83 | Professional | TC · Technical part | $32.36 | $42.66 | $131.83 |
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 $77.62 Median $102.33 Typical High $281.84 | Professional | None (both parts) | $77.62 | $102.33 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $104.71 | Professional | 26 · Professional part | $28.18 | $37.15 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $169.82 | Professional | TC · Technical part | $50.12 | $66.07 | $169.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $60.26 | $60.26 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $22.39 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $39.81 | $39.81 | $70.79 |
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 $30.90 Median $57.54 Typical High $218.78 | Facility | 52 · Reduced service | $30.90 | $57.54 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $22.91 Typical High $87.10 | Facility | 53 · Discontinued | $12.30 | $22.91 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $15.14 | $19.05 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $28.18 Median $57.54 Typical High $218.78 | Facility | 52 · Reduced service | $28.18 | $57.54 | $218.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $22.91 Typical High $87.10 | Facility | 53 · Discontinued | $11.22 | $22.91 | $87.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $37.15 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $15.14 | $19.05 |
Where Texas sits
The same service costs 4.5 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
$93.33
AK $316AL $70.79
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.