How much rates vary
Facilitymedian $288 · 10th to 90th $148 to $708Professionalmedian $120 · 10th to 90th $23 to $1,148
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 $95.50 Median $131.83 Typical High $239.88 | Facility | None | $95.50 | $131.83 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $186.21 Typical High $724.44 | Facility | TC · Technical part | $87.10 | $186.21 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $109.65 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $28.18 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $87.10 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $81.28 | $109.65 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $23.44 | $43.65 |
BCBS Texas Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $831.76 | Facility | None | $169.82 | $457.09 | $831.76 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $25.12 Median $95.50 Typical High $234.42 | Professional | None (both parts) | $25.12 | $95.50 | $234.42 |
Baylor Scott & White Setting Facility Modifier None Typical Low $169.82 Median $177.83 Typical High $269.15 | Facility | None | $169.82 | $177.83 | $269.15 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $114.82 | $169.82 | $229.09 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 26 · Professional part | $38.90 | $38.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $234.42 Typical High $436.52 | Facility | None | $85.11 | $234.42 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $288.40 | Professional | None (both parts) | $70.79 | $89.13 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $75.86 | Professional | 26 · Professional part | $19.05 | $23.44 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $213.80 | Professional | TC · Technical part | $51.29 | $67.61 | $213.80 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,445.44 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $331.13 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $870.96 | $870.96 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $288.40 Typical High $407.38 | Facility | None | $162.18 | $288.40 | $407.38 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $190.55 Typical High $776.25 | Facility | TC · Technical part | $93.33 | $190.55 | $776.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $109.65 | $114.82 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $30.20 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $87.10 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $19.95 | $95.50 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $44.67 | $173.78 | $346.74 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $501.19 | Facility | None | $95.50 | $234.42 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $309.03 | Professional | None (both parts) | $70.79 | $89.13 | $309.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $74.13 | Professional | 26 · Professional part | $19.05 | $23.44 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $213.80 | Professional | TC · Technical part | $51.29 | $67.61 | $213.80 |
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 $100.00 Median $109.65 Typical High $302.00 | Professional | None (both parts) | $100.00 | $109.65 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $91.20 | Professional | 26 · Professional part | $27.54 | $33.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $83.18 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | None (both parts) | $74.13 | $74.13 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $54.95 | $54.95 | $63.10 |
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 $50.12 Median $102.33 Typical High $389.05 | Facility | 52 · Reduced service | $50.12 | $102.33 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $40.74 Typical High $154.88 | Facility | 53 · Discontinued | $19.95 | $40.74 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $56.23 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $32.36 | Professional | 53 · Discontinued | $21.88 | $22.39 | $32.36 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $50.12 Median $102.33 Typical High $389.05 | Facility | 52 · Reduced service | $50.12 | $102.33 | $389.05 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $40.74 Typical High $154.88 | Facility | 53 · Discontinued | $19.95 | $40.74 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $56.23 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $22.39 | $28.84 |
Where Texas sits
The same service costs 4.9 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· 42nd of 51
$145
AK $468AL $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.