How much rates vary
Facilitymedian $9 · 10th to 90th $4 to $49Professionalmedian $16 · 10th to 90th $12 to $251
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 $13.80 Median $16.22 Typical High $17.78 | Facility | None | $13.80 | $16.22 | $17.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.22 Typical High $18.62 | Professional | None (both parts) | $13.80 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $12.88 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.39 Typical High $3.72 | Professional | TC · Technical part | $2.75 | $3.39 | $3.72 |
BCBS Texas Setting Facility Modifier None Typical Low $3.72 Median $8.91 Typical High $19.05 | Facility | None | $3.72 | $8.91 | $19.05 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.47 Median $13.18 Typical High $14.79 | Professional | None (both parts) | $10.47 | $13.18 | $14.79 |
Christus 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 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $69.18 Typical High $309.03 | Facility | None | $16.60 | $69.18 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None (both parts) | $16.98 | $16.98 | $19.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | 26 · Professional part | $13.49 | $13.49 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.39 Typical High $3.89 | Professional | TC · Technical part | $3.39 | $3.39 | $3.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $251.19 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $89.13 | $89.13 | $117.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $173.78 | $218.78 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $57.54 | Facility | None | $16.22 | $19.50 | $57.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.22 Typical High $18.62 | Professional | None (both parts) | $13.80 | $16.22 | $18.62 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $12.88 | $14.45 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.39 Typical High $3.72 | Professional | TC · Technical part | $2.75 | $3.39 | $3.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.82 Median $11.48 Typical High $15.14 | Professional | None (both parts) | $2.82 | $11.48 | $15.14 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3.98 Median $16.60 Typical High $51.29 | Professional | None (both parts) | $3.98 | $16.60 | $51.29 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $141.25 | Facility | None | $16.22 | $25.12 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None (both parts) | $16.98 | $16.98 | $19.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | 26 · Professional part | $13.49 | $13.49 | $14.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.39 Typical High $3.80 | Professional | TC · Technical part | $3.39 | $3.39 | $3.80 |
United Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $269.15 | Facility | None | $194.98 | $204.17 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $22.39 Typical High $52.48 | Professional | None (both parts) | $13.18 | $22.39 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $10.72 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $12.59 Typical High $38.02 | Professional | TC · Technical part | $2.14 | $12.59 | $38.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.38 | $17.78 | $17.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $3.63 Typical High $3.63 | Professional | TC · Technical part | $3.55 | $3.63 | $3.63 |
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 $6.76 Median $8.13 Typical High $9.33 | Professional | 52 · Reduced service | $6.76 | $8.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.24 Typical High $3.72 | Professional | 53 · Discontinued | $2.75 | $3.24 | $3.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $8.13 Typical High $9.33 | Professional | 52 · Reduced service | $6.76 | $8.13 | $9.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.24 Typical High $3.72 | Professional | 53 · Discontinued | $2.75 | $3.24 | $3.72 |
Where Texas sits
The same service costs 2.5 times more in California than in Texas. 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· 51st of 51
$16.22
CA $40.74TX $16.22
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.