How much rates vary
Facilitymedian $240 · 10th to 90th $87 to $468Professionalmedian $91 · 10th to 90th $18 to $724
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 $67.61 Median $75.86 Typical High $91.20 | Facility | None | $67.61 | $75.86 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $125.89 Typical High $467.74 | Facility | TC · Technical part | $53.70 | $125.89 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $67.61 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $18.20 | $19.95 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $50.12 | $52.48 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
BCBS Texas Setting Facility Modifier None Typical Low $104.71 Median $275.42 Typical High $467.74 | Facility | None | $104.71 | $275.42 | $467.74 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $177.83 | Professional | None (both parts) | $43.65 | $69.18 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 26 · Professional part | $30.90 | $30.90 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $186.21 Typical High $281.84 | Facility | None | $41.69 | $186.21 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $186.21 | Professional | None (both parts) | $37.15 | $64.57 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $12.59 | $16.60 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $134.90 | Professional | TC · Technical part | $24.55 | $47.86 | $134.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $724.44 | $1,096.48 | $1,096.48 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $199.53 | $263.03 | $263.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $537.03 | $851.14 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $389.05 | Facility | None | $69.18 | $107.15 | $389.05 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $125.89 Typical High $467.74 | Facility | TC · Technical part | $61.66 | $125.89 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $181.97 | Professional | None (both parts) | $67.61 | $74.13 | $181.97 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $47.86 | Professional | 26 · Professional part | $18.20 | $20.89 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $53.70 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $14.45 | $66.07 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $35.48 | $131.83 | $263.03 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $208.93 Typical High $389.05 | Facility | None | $61.66 | $208.93 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $218.78 | Professional | None (both parts) | $37.15 | $64.57 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $12.59 | $16.60 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $134.90 | Professional | TC · Technical part | $24.55 | $47.86 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $234.42 | Professional | None (both parts) | $64.57 | $91.20 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $67.61 | Professional | 26 · Professional part | $19.05 | $26.30 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $165.96 | Professional | TC · Technical part | $45.71 | $64.57 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $123.03 | Professional | None (both parts) | $44.67 | $44.67 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $13.49 | $31.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $91.20 | Professional | TC · Technical part | $30.90 | $30.90 | $91.20 |
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 $63.10 Typical High $234.42 | Facility | 52 · Reduced service | $30.90 | $63.10 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $25.12 Typical High $93.33 | Facility | 53 · Discontinued | $12.30 | $25.12 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $34.67 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $18.20 | Professional | 53 · Discontinued | $13.80 | $14.45 | $18.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $30.90 Median $63.10 Typical High $234.42 | Facility | 52 · Reduced service | $30.90 | $63.10 | $234.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $25.12 Typical High $93.33 | Facility | 53 · Discontinued | $12.30 | $25.12 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $33.88 | $35.48 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $18.20 | Professional | 53 · Discontinued | $13.80 | $14.45 | $18.20 |
Where Texas sits
The same service costs 4.6 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· 35th of 51
$105
AK $269AL $58.88
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.