How much rates vary
Facilitymedian $9 · 10th to 90th $4 to $135Professionalmedian $15 · 10th to 90th $11 to $224
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 $12.88 Median $15.49 Typical High $16.98 | Facility | None | $12.88 | $15.49 | $16.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $15.49 Typical High $17.38 | Professional | None (both parts) | $12.88 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $13.18 | Professional | 26 · Professional part | $10.00 | $12.02 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.31 Typical High $3.72 | Professional | TC · Technical part | $2.75 | $3.31 | $3.72 |
BCBS Texas Setting Facility Modifier None Typical Low $3.80 Median $8.91 Typical High $95.50 | Facility | None | $3.80 | $8.91 | $95.50 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $9.77 Median $12.30 Typical High $13.80 | Professional | None (both parts) | $9.77 | $12.30 | $13.80 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $69.18 Typical High $346.74 | Facility | None | $16.22 | $69.18 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | None (both parts) | $15.85 | $15.85 | $18.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 26 · Professional part | $12.59 | $12.59 | $14.13 |
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 $223.87 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $223.87 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $89.13 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $213.80 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $15.49 Median $18.20 Typical High $54.95 | Facility | None | $15.49 | $18.20 | $54.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $12.88 Median $15.49 Typical High $17.38 | Professional | None (both parts) | $12.88 | $15.49 | $17.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $13.18 | Professional | 26 · Professional part | $10.00 | $12.02 | $13.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.31 Typical High $3.72 | Professional | TC · Technical part | $2.75 | $3.31 | $3.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.82 Median $10.72 Typical High $14.45 | Professional | None (both parts) | $2.82 | $10.72 | $14.45 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3.98 Median $15.85 Typical High $47.86 | Professional | None (both parts) | $3.98 | $15.85 | $47.86 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $23.99 Typical High $269.15 | Facility | None | $15.49 | $23.99 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | None (both parts) | $15.85 | $15.85 | $18.62 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $12.59 | $13.80 |
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 $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $20.89 Typical High $48.98 | Professional | None (both parts) | $12.30 | $20.89 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $9.55 | $10.96 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $12.02 Typical High $35.48 | Professional | TC · Technical part | $2.19 | $12.02 | $35.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None (both parts) | $16.60 | $16.60 | $16.60 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $12.88 |
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 $6.46 Median $7.76 Typical High $8.91 | Professional | 52 · Reduced service | $6.46 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.09 Typical High $3.55 | Professional | 53 · Discontinued | $2.57 | $3.09 | $3.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.76 Typical High $8.91 | Professional | 52 · Reduced service | $6.46 | $7.76 | $8.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.09 Typical High $3.55 | Professional | 53 · Discontinued | $2.57 | $3.09 | $3.55 |
Where Texas sits
The same service costs 2.6 times more in California than in New York. 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· 49th of 51
$15.49
CA $38.02NY $14.45
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.