How much rates vary
Facilitymedian $110 · 10th to 90th $24 to $269Professionalmedian $37 · 10th to 90th $16 to $347
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 $30.90 Median $37.15 Typical High $44.67 | Facility | None | $30.90 | $37.15 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $44.67 | Professional | None (both parts) | $30.90 | $37.15 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $16.22 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | TC · Technical part | $17.38 | $20.42 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $42.66 | $45.71 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $72.44 Median $165.96 Typical High $295.12 | Facility | None | $72.44 | $165.96 | $295.12 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.79 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $14.79 | $33.88 | $38.02 |
Christus Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | None (both parts) | $43.65 | $43.65 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $20.42 | Professional | 26 · Professional part | $19.50 | $19.50 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | TC · Technical part | $23.99 | $23.99 | $26.92 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $346.74 | $346.74 | $407.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $169.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $229.09 | $229.09 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $57.54 Typical High $173.78 | Facility | None | $37.15 | $57.54 | $173.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $44.67 | Professional | None (both parts) | $30.90 | $37.15 | $44.67 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $16.22 | $19.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | TC · Technical part | $17.38 | $20.42 | $25.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.25 Median $28.84 Typical High $38.02 | Professional | None (both parts) | $5.25 | $28.84 | $38.02 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.92 Typical High $47.86 | Professional | None (both parts) | $20.42 | $26.92 | $47.86 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $83.18 | Facility | None | $35.48 | $50.12 | $83.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | None (both parts) | $43.65 | $43.65 | $46.77 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $20.42 | Professional | 26 · Professional part | $19.50 | $19.50 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | TC · Technical part | $23.99 | $23.99 | $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 $36.31 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $36.31 | $53.70 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $26.30 | Professional | 26 · Professional part | $16.60 | $19.50 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $35.48 | $47.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $45.71 | $47.86 | $47.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
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 $15.49 Median $18.20 Typical High $22.39 | Professional | 52 · Reduced service | $15.49 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.41 Typical High $8.91 | Professional | 53 · Discontinued | $6.17 | $7.41 | $8.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $18.20 Typical High $22.39 | Professional | 52 · Reduced service | $15.49 | $18.20 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.41 Typical High $8.91 | Professional | 53 · Discontinued | $6.17 | $7.41 | $8.91 |
Where Texas sits
The same service costs 3.4 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· 48th of 51
$37.15
AK $123UT $36.31
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.