How much rates vary
Facilitymedian $158 · 10th to 90th $72 to $158Professionalmedian $33 · 10th to 90th $22 to $72
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 $38.90 Median $45.71 Typical High $56.23 | Facility | None | $38.90 | $45.71 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $38.90 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $9.55 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $36.31 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Facility | None | $1,288.25 | $1,288.25 | $1,513.56 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.88 Median $24.55 Typical High $38.02 | Professional | None (both parts) | $21.88 | $24.55 | $38.02 |
Christus Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $60.26 | Professional | None (both parts) | $27.54 | $27.54 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $12.88 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $17.78 | $47.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $104.71 | Facility | None | $33.11 | $54.95 | $104.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $38.90 | $45.71 | $56.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $9.55 | $11.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $36.31 | $45.71 |
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 $14.45 Median $21.38 Typical High $45.71 | Professional | None (both parts) | $14.45 | $21.38 | $45.71 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $81.28 | Facility | None | $38.02 | $60.26 | $81.28 |
Providence Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $60.26 | Professional | None (both parts) | $27.54 | $27.54 | $60.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $12.88 | $15.85 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $17.78 | $40.74 |
United Setting Facility Modifier None Typical Low $676.08 Median $707.95 Typical High $933.25 | Facility | None | $676.08 | $707.95 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $45.71 | $56.23 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $9.55 | $10.72 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $35.48 | $45.71 | $63.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $31.62 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.49 | $13.80 | $13.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $18.20 | $19.50 | $19.50 |
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 $19.50 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $19.50 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $11.22 | Professional | 53 · Discontinued | $7.76 | $9.12 | $11.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $19.50 | $22.91 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $11.22 | Professional | 53 · Discontinued | $7.76 | $9.12 | $11.22 |
Where Texas sits
The same service costs 3.3 times more in Alaska than in Ohio. 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
$33.11
AK $110OH $33.11
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.