How much rates vary
Facilitymedian $234 · 10th to 90th $100 to $525Professionalmedian $74 · 10th to 90th $12 to $1,072
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 $74.13 Median $83.18 Typical High $100.00 | Facility | None | $74.13 | $83.18 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $109.65 Typical High $416.87 | Facility | TC · Technical part | $47.86 | $109.65 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $77.62 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $45.71 | $58.88 |
BCBS Texas Setting Facility Modifier None Typical Low $109.65 Median $288.40 Typical High $549.54 | Facility | None | $109.65 | $288.40 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $27.54 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $27.54 | $64.57 | $104.71 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $47.86 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $234.42 | Facility | None | $83.18 | $154.88 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $229.09 | Professional | None (both parts) | $56.23 | $70.79 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $100.00 | Professional | 26 · Professional part | $23.44 | $29.51 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $128.82 | Professional | TC · Technical part | $33.11 | $40.74 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $398.11 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $602.56 | $616.60 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $870.96 | Facility | None | $77.62 | $117.49 | $870.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $109.65 Typical High $416.87 | Facility | TC · Technical part | $53.70 | $109.65 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $177.83 | Professional | None (both parts) | $77.62 | $81.28 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $35.48 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $104.71 | Professional | TC · Technical part | $43.65 | $46.77 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $47.86 Typical High $97.72 | Professional | None (both parts) | $10.00 | $47.86 | $97.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $53.70 | $117.49 | $245.47 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $181.97 Typical High $302.00 | Facility | None | $79.43 | $181.97 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $281.84 | Professional | None (both parts) | $56.23 | $74.13 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $100.00 | Professional | 26 · Professional part | $23.44 | $29.51 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $128.82 | Professional | TC · Technical part | $33.11 | $40.74 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $83.18 | $117.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $128.82 | Professional | 26 · Professional part | $34.67 | $46.77 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $169.82 | Professional | TC · Technical part | $47.86 | $67.61 | $169.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $72.44 | $72.44 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $29.51 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $43.65 | $66.07 |
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 $29.51 Median $54.95 Typical High $208.93 | Facility | 52 · Reduced service | $29.51 | $54.95 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $21.88 Typical High $83.18 | Facility | 53 · Discontinued | $11.75 | $21.88 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $39.81 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $15.85 | $19.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $54.95 Typical High $208.93 | Facility | 52 · Reduced service | $26.92 | $54.95 | $208.93 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $21.88 Typical High $83.18 | Facility | 53 · Discontinued | $10.72 | $21.88 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $50.12 | Professional | 52 · Reduced service | $38.02 | $39.81 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $15.85 | $19.95 |
Where Texas sits
The same service costs 5.8 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· 48th of 51
$87.10
AK $339AL $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.