How much rates vary
Facilitymedian $85 · 10th to 90th $58 to $120Professionalmedian $69 · 10th to 90th $16 to $550
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 $57.54 Median $69.18 Typical High $83.18 | Facility | None | $57.54 | $69.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $57.54 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $35.48 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $40.74 | Professional | TC · Technical part | $27.54 | $32.36 | $40.74 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $42.66 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $42.66 | $75.86 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $42.66 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $87.10 | Professional | None (both parts) | $77.62 | $81.28 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $42.66 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $42.66 | Professional | TC · Technical part | $38.02 | $38.90 | $42.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $549.54 | $549.54 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | 26 · Professional part | $281.84 | $281.84 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | TC · Technical part | $354.81 | $354.81 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $120.23 | Facility | None | $66.07 | $85.11 | $120.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $57.54 | $69.18 | $83.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $35.48 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $40.74 | Professional | TC · Technical part | $27.54 | $32.36 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $48.98 Typical High $100.00 | Professional | None (both parts) | $10.23 | $48.98 | $100.00 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $120.23 | Facility | None | $57.54 | $91.20 | $120.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $87.10 | Professional | None (both parts) | $77.62 | $81.28 | $87.10 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $42.66 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $42.66 | Professional | TC · Technical part | $38.02 | $38.90 | $42.66 |
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 $61.66 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $61.66 | $70.79 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $38.02 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $46.77 | Professional | TC · Technical part | $29.51 | $34.67 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $85.11 | $89.13 | $89.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
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 $28.84 Median $33.88 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $16.60 | Professional | 53 · Discontinued | $11.75 | $13.80 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $33.88 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $33.88 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $16.60 | Professional | 53 · Discontinued | $11.75 | $13.80 | $16.60 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$69.18
AK $229NJ $61.66
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.