How much rates vary
Facilitymedian $66 · 10th to 90th $41 to $269Professionalmedian $43 · 10th to 90th $7 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 $36.31 Median $42.66 Typical High $52.48 | Facility | None | $36.31 | $42.66 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $36.31 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $8.51 | Professional | 26 · Professional part | $5.89 | $7.08 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $36.31 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $48.98 | $51.29 | $52.48 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $169.82 Typical High $363.08 | Facility | None | $79.43 | $169.82 | $363.08 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.31 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $6.31 | $39.81 | $52.48 |
Christus Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $8.13 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $50.12 | $50.12 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $8.32 | $8.32 | $9.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $41.69 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $346.74 | $346.74 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $288.40 | $288.40 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $74.13 | Facility | None | $40.74 | $52.48 | $74.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $36.31 | $42.66 | $52.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $8.51 | Professional | 26 · Professional part | $5.89 | $7.08 | $8.51 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $36.31 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.01 Median $28.18 Typical High $37.15 | Professional | None (both parts) | $5.01 | $28.18 | $37.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $9.12 | $51.29 | $109.65 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $52.48 Typical High $72.44 | Facility | None | $36.31 | $52.48 | $72.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $50.12 | $50.12 | $63.10 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $8.32 | $9.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $41.69 | $51.29 |
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 $38.02 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $38.02 | $41.69 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $10.72 | Professional | 26 · Professional part | $7.08 | $7.94 | $10.72 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $35.48 | $48.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $52.48 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.51 | $8.71 | $8.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $43.65 | $46.77 | $46.77 |
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 $18.20 Median $21.38 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.51 Typical High $10.47 | Professional | 53 · Discontinued | $7.24 | $8.51 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $21.38 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $21.38 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.51 Typical High $10.47 | Professional | 53 · Discontinued | $7.24 | $8.51 | $10.47 |
Where Texas sits
The same service costs 3.5 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· 46th of 51
$42.66
AK $135NJ $38.90
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.