How much rates vary
Facilitymedian $468 · 10th to 90th $191 to $871Professionalmedian $174 · 10th to 90th $30 to $427
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 $131.83 Median $154.88 Typical High $190.55 | Facility | None | $131.83 | $154.88 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $131.83 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $37.15 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $117.49 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $239.88 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $218.78 Median $501.19 Typical High $870.96 | Facility | None | $218.78 | $501.19 | $870.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $44.67 | $208.93 | $398.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $190.55 | $218.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $51.29 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $169.82 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $2,137.96 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $2,137.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 26 · Professional part | $323.59 | $323.59 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,737.80 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $302.00 | Facility | None | $141.25 | $218.78 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $131.83 | $154.88 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $38.02 | $64.57 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $117.49 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.80 Median $70.79 Typical High $234.42 | Professional | None (both parts) | $13.80 | $70.79 | $234.42 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $302.00 | Facility | None | $147.91 | $234.42 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $190.55 | $218.78 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $48.98 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $141.25 | $169.82 | $288.40 |
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 $165.96 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $165.96 | $229.09 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $53.70 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $173.78 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
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 $66.07 Median $77.62 Typical High $112.20 | Professional | 52 · Reduced service | $66.07 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $44.67 | Professional | 53 · Discontinued | $26.30 | $30.90 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $77.62 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $77.62 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $30.90 | $42.66 |
Where Texas sits
The same service costs 3.0 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· 50th of 51
$178
AK $513FL $174
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.