How much rates vary
Facilitymedian $204 · 10th to 90th $138 to $646Professionalmedian $32 · 10th to 90th $6 to $195
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 $23.44 Median $28.18 Typical High $31.62 | Facility | None | $23.44 | $28.18 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $42.66 | Professional | None (both parts) | $23.44 | $28.84 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $15.85 | Professional | 26 · Professional part | $7.94 | $10.00 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.62 Typical High $28.18 | Professional | TC · Technical part | $15.49 | $18.62 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $32.36 Typical High $33.88 | Professional | None (both parts) | $29.51 | $32.36 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $11.48 | Professional | 26 · Professional part | $9.77 | $9.77 | $11.48 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $724.44 | Facility | None | $138.04 | $371.54 | $724.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $9.77 Median $22.39 Typical High $48.98 | Professional | None (both parts) | $9.77 | $22.39 | $48.98 |
Christus Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $630.96 | Facility | None | $288.40 | $363.08 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $23.99 | $33.11 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $22.39 | Professional | 26 · Professional part | $8.13 | $11.48 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $15.85 | $21.38 | $35.48 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $194.98 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $91.20 | $91.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $199.53 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $229.09 Typical High $407.38 | Facility | None | $28.18 | $229.09 | $407.38 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $380.19 Typical High $588.84 | Facility | TC · Technical part | $18.62 | $380.19 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $46.77 | Professional | None (both parts) | $23.44 | $28.84 | $46.77 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $10.00 | $17.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.62 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $18.62 | $29.51 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $39.81 Typical High $630.96 | Facility | None | $28.18 | $39.81 | $630.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $23.99 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $23.99 | $32.36 | $56.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $10.96 | $21.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $33.11 | Professional | TC · Technical part | $15.85 | $21.38 | $33.11 |
United Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $269.15 | Facility | None | $194.98 | $204.17 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $28.84 | $38.02 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.79 Typical High $22.91 | Professional | 26 · Professional part | $10.72 | $14.79 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $17.78 | $23.44 | $36.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
5 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 $11.75 Median $14.13 Typical High $18.20 | Professional | 52 · Reduced service | $11.75 | $14.13 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.62 Typical High $7.24 | Professional | 53 · Discontinued | $4.68 | $5.62 | $7.24 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | Q6 · Substitute physician, paid per time | $29.51 | $29.51 | $29.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $14.13 Typical High $18.20 | Professional | 52 · Reduced service | $11.75 | $14.13 | $18.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.62 Typical High $7.24 | Professional | 53 · Discontinued | $4.68 | $5.62 | $7.24 |
Where Texas sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 47th of 51
$32.36
AK $83.18FL $30.90
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.