How much rates vary
Facilitymedian $123 · 10th to 90th $78 to $257Professionalmedian $115 · 10th to 90th $21 to $224
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 $85.11 Median $100.00 Typical High $234.42 | Facility | None | $85.11 | $100.00 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $85.11 | $104.71 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $35.48 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $70.79 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $104.71 | $154.88 | $169.82 |
BCBS Texas Setting Facility Modifier None Typical Low $64.57 Median $151.36 Typical High $281.84 | Facility | None | $64.57 | $151.36 | $281.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $33.88 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $33.88 | $114.82 | $194.98 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $112.20 | $151.36 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $44.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $107.15 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,412.54 | Professional | None (both parts) | $851.14 | $851.14 | $1,412.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $346.74 | Professional | 26 · Professional part | $263.03 | $263.03 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $630.96 | $630.96 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $954.99 | Facility | None | $100.00 | $162.18 | $954.99 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $85.11 | $104.71 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $35.48 | $56.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $67.61 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.49 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $13.49 | $70.79 | $165.96 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $181.97 | Facility | None | $85.11 | $141.25 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $117.49 | $151.36 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $42.66 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $107.15 | $141.25 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $85.11 | $117.49 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $44.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $46.77 | $69.18 | $117.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
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 $42.66 Median $50.12 Typical High $70.79 | Professional | 52 · Reduced service | $42.66 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $28.84 | Professional | 53 · Discontinued | $16.98 | $19.95 | $28.84 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | Q6 · Substitute physician, paid per time | $144.54 | $144.54 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $50.12 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $50.12 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $27.54 | Professional | 53 · Discontinued | $16.98 | $19.95 | $27.54 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in New York. 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· 49th of 51
$117
AK $347NY $107
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.