How much rates vary
Facilitymedian $191 · 10th to 90th $91 to $468Professionalmedian $107 · 10th to 90th $12 to $794
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 $97.72 Median $114.82 Typical High $131.83 | Facility | None | $97.72 | $114.82 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $97.72 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $15.14 | Professional | 26 · Professional part | $11.48 | $13.49 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $100.00 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $97.72 | $128.82 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $489.78 | Facility | None | $123.03 | $281.84 | $489.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.72 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $10.72 | $60.26 | $107.15 |
Christus Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Christus 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 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $309.03 | Facility | None | $70.79 | $114.82 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $120.23 | $120.23 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $15.85 | Professional | 26 · Professional part | $13.80 | $13.80 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | TC · Technical part | $107.15 | $107.15 | $117.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,174.90 | Professional | None (both parts) | $794.33 | $794.33 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $1,047.13 | Professional | TC · Technical part | $707.95 | $707.95 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $501.19 | Facility | None | $114.82 | $162.18 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $97.72 | $114.82 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $15.14 | Professional | 26 · Professional part | $11.48 | $13.49 | $15.14 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $100.00 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $19.50 | $112.20 | $141.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $125.89 Typical High $436.52 | Professional | None (both parts) | $15.49 | $125.89 | $436.52 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $194.98 | Facility | None | $87.10 | $128.82 | $194.98 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $120.23 | $120.23 | $131.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $13.80 | $13.80 | $15.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | TC · Technical part | $107.15 | $107.15 | $117.49 |
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 $75.86 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $75.86 | $85.11 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $12.88 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $74.13 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $131.83 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $117.49 | $120.23 | $120.23 |
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 $47.86 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $22.91 | $26.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $125.89 Typical High $128.82 | Professional | 59 · Distinct service | $120.23 | $125.89 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $57.54 | $64.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $22.91 | $26.30 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 37th of 51
$110
AK $245FL $81.28
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.