How much rates vary
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 $707.95 Median $831.76 Typical High $954.99 | Facility | None | $707.95 | $831.76 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $1,047.13 | Professional | None (both parts) | $707.95 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $91.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $724.44 Typical High $891.25 | Professional | TC · Technical part | $616.60 | $724.44 | $891.25 |
BCBS Texas Setting Facility Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $4,677.35 | Facility | None | $1,148.15 | $2,818.38 | $4,677.35 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $1,445.44 | Professional | None (both parts) | $117.49 | $204.17 | $1,445.44 |
Christus Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $1,047.13 | Facility | None | $794.33 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $933.25 Typical High $1,584.89 | Professional | None (both parts) | $660.69 | $933.25 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $125.89 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $812.83 Typical High $1,380.38 | Professional | TC · Technical part | $575.44 | $812.83 | $1,380.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $8,511.38 Typical High $8,511.38 | Professional | None (both parts) | $5,888.44 | $8,511.38 | $8,511.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $758.58 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,128.61 Median $7,413.10 Typical High $7,413.10 | Professional | TC · Technical part | $5,128.61 | $7,413.10 | $7,413.10 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,202.26 | Facility | None | $707.95 | $933.25 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Professional | None (both parts) | $707.95 | $831.76 | $1,096.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $109.65 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $724.44 Typical High $891.25 | Professional | TC · Technical part | $616.60 | $724.44 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $162.18 Typical High $954.99 | Professional | None (both parts) | $19.50 | $162.18 | $954.99 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,348.96 | Facility | None | $794.33 | $1,000.00 | $1,348.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $660.69 Median $933.25 Typical High $1,584.89 | Professional | None (both parts) | $660.69 | $933.25 | $1,584.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $125.89 | $194.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $812.83 Typical High $1,318.26 | Professional | TC · Technical part | $575.44 | $812.83 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,949.84 | Facility | None | $1,412.54 | $1,479.11 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,584.89 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $95.50 | $128.82 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $891.25 Typical High $1,380.38 | Professional | TC · Technical part | $660.69 | $891.25 | $1,380.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
4 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 Professional Modifier 52 · Reduced service Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $354.81 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | 53 · Discontinued | $141.25 | $165.96 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $354.81 | $416.87 | $524.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | 53 · Discontinued | $141.25 | $165.96 | $208.93 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 50th of 51
$759
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.