How much rates vary
Facilitymedian $302 · 10th to 90th $120 to $617Professionalmedian $115 · 10th to 90th $18 to $1,000
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 $107.15 Median $125.89 Typical High $154.88 | Facility | None | $107.15 | $125.89 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $104.71 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $34.67 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $74.13 | $89.13 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $691.83 | Facility | None | $138.04 | $316.23 | $691.83 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $22.39 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $22.39 | $117.49 | $213.80 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $100.00 | $144.54 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $19.05 | $28.84 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $114.82 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $724.44 | $977.24 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $218.78 | Facility | None | $107.15 | $134.90 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $107.15 | $125.89 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $35.48 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $89.13 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.22 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $16.22 | $89.13 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $24.55 | $134.90 | $269.15 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $218.78 | Facility | None | $83.18 | $147.91 | $218.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $104.71 | $144.54 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $63.10 | Professional | 26 · Professional part | $19.05 | $28.84 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $112.20 | $154.88 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $56.23 | $138.04 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $102.33 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
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 $53.70 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $53.70 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $21.38 | $25.12 | $30.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $109.65 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $53.70 | $63.10 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $21.38 | $25.12 | $30.90 |
Where Texas sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 44th of 51
$115
AK $363IN $69.18
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.