How much rates vary
Facilitymedian $107 · 10th to 90th $62 to $275Professionalmedian $50 · 10th to 90th $26 to $81
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 $42.66 Median $50.12 Typical High $60.26 | Facility | None | $42.66 | $50.12 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $42.66 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $28.84 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $25.70 | Professional | TC · Technical part | $17.78 | $20.89 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $57.54 | $61.66 | $67.61 |
BCBS Texas Setting Facility Modifier None Typical Low $67.61 Median $165.96 Typical High $295.12 | Facility | None | $67.61 | $165.96 | $295.12 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.30 Median $46.77 Typical High $52.48 | Professional | None (both parts) | $26.30 | $46.77 | $52.48 |
Christus Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $33.88 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $57.54 | $60.26 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $33.88 | $34.67 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.12 Typical High $27.54 | Professional | TC · Technical part | $24.55 | $25.12 | $27.54 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $100.00 | Professional | None (both parts) | $66.07 | $75.86 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $398.11 | $398.11 | $549.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $165.96 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $169.82 | Facility | None | $50.12 | $87.10 | $169.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $42.66 | $50.12 | $60.26 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $28.84 | $34.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $25.70 | Professional | TC · Technical part | $17.78 | $20.89 | $25.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.03 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $6.03 | $33.11 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $27.54 | $36.31 | $64.57 |
Providence Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $87.10 | Facility | None | $42.66 | $66.07 | $87.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $57.54 | $60.26 | $64.57 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $33.88 | $34.67 | $36.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.12 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $25.12 | $26.92 |
United Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $123.03 | Facility | None | $89.13 | $93.33 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $45.71 | $51.29 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $30.90 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $26.92 | Professional | TC · Technical part | $17.38 | $19.95 | $26.92 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $61.66 | $64.57 | $64.57 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $27.54 | $28.18 | $28.18 |
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 $20.89 Median $25.12 Typical High $30.20 | Professional | 52 · Reduced service | $20.89 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $8.51 | $10.00 | $12.02 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 59 · Distinct service | $61.66 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $25.12 Typical High $30.20 | Professional | 52 · Reduced service | $20.89 | $25.12 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $8.51 | $10.00 | $12.02 |
Where Texas sits
The same service costs 3.7 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· 48th of 51
$50.12
AK $170FL $45.71
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.