How much rates vary
Facilitymedian $89 · 10th to 90th $34 to $155Professionalmedian $40 · 10th to 90th $6 to $537
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 $40.74 Median $54.95 Typical High $54.95 | Facility | None | $40.74 | $54.95 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $66.07 Typical High $251.19 | Facility | TC · Technical part | $28.18 | $66.07 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $41.69 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $15.49 | $15.85 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $26.30 | $27.54 | $34.67 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $12.88 | $33.88 | $58.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $95.50 Typical High $138.04 | Facility | None | $30.90 | $95.50 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $120.23 | Professional | None (both parts) | $27.54 | $36.31 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $44.67 | Professional | 26 · Professional part | $10.00 | $13.49 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $74.13 | Professional | TC · Technical part | $17.38 | $22.39 | $74.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $436.52 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $158.49 | $190.55 | $190.55 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $281.84 | $346.74 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $74.13 | Facility | None | $42.66 | $60.26 | $74.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $251.19 | Facility | TC · Technical part | $32.36 | $66.07 | $251.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $41.69 | $44.67 | $85.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $15.49 | $16.60 | $35.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $28.18 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $28.84 Typical High $64.57 | Professional | None (both parts) | $5.37 | $28.84 | $64.57 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $64.57 Typical High $131.83 | Professional | None (both parts) | $25.70 | $64.57 | $131.83 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $223.87 | Facility | None | $38.02 | $97.72 | $223.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $123.03 | Professional | None (both parts) | $27.54 | $36.31 | $123.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.18 Typical High $44.67 | Professional | 26 · Professional part | $9.77 | $13.18 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $74.13 | Professional | TC · Technical part | $17.38 | $22.39 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $151.36 | Professional | None (both parts) | $43.65 | $60.26 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $54.95 | Professional | 26 · Professional part | $13.18 | $21.88 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $95.50 | Professional | TC · Technical part | $27.54 | $38.02 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $32.36 | $32.36 | $61.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $11.48 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $20.42 | $38.02 |
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 $16.22 Median $33.11 Typical High $123.03 | Facility | 52 · Reduced service | $16.22 | $33.11 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $13.18 Typical High $50.12 | Facility | 53 · Discontinued | $6.46 | $13.18 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.38 Typical High $27.54 | Professional | 52 · Reduced service | $20.89 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $10.96 | Professional | 53 · Discontinued | $8.51 | $8.71 | $10.96 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $16.22 Median $33.11 Typical High $123.03 | Facility | 52 · Reduced service | $16.22 | $33.11 | $123.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $13.18 Typical High $50.12 | Facility | 53 · Discontinued | $6.46 | $13.18 | $50.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.38 Typical High $27.54 | Professional | 52 · Reduced service | $20.89 | $21.38 | $27.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.96 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.96 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 51st of 51
$41.69
AK $182TX $41.69
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.