How much rates vary
Facilitymedian $302 · 10th to 90th $110 to $550Professionalmedian $40 · 10th to 90th $6 to $87
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 $48.98 Median $58.88 Typical High $64.57 | Facility | None | $48.98 | $58.88 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $48.98 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $40.74 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | TC · Technical part | $15.14 | $17.78 | $21.88 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $323.59 Typical High $588.84 | Facility | None | $138.04 | $323.59 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $117.49 | Professional | None (both parts) | $36.31 | $52.48 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $41.69 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $147.91 | Facility | None | $100.00 | $114.82 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $60.26 | $69.18 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $47.86 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $18.20 | $21.88 | $30.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $407.38 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $281.84 | $354.81 | $354.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $125.89 | $169.82 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $85.11 | Facility | None | $48.98 | $64.57 | $85.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $48.98 | $58.88 | $72.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $40.74 | $51.29 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | TC · Technical part | $15.14 | $17.78 | $21.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $30.90 Typical High $67.61 | Professional | None (both parts) | $5.37 | $30.90 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $70.79 | $158.49 | $229.09 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $114.82 | Facility | None | $58.88 | $75.86 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $60.26 | $69.18 | $104.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $47.86 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $28.84 | Professional | TC · Technical part | $17.78 | $21.88 | $28.84 |
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 $48.98 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $48.98 | $67.61 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $48.98 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.50 Typical High $28.84 | Professional | TC · Technical part | $14.13 | $19.50 | $28.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $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 $24.55 Median $28.84 Typical High $35.48 | Professional | 52 · Reduced service | $24.55 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $11.75 | $14.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $28.84 Typical High $35.48 | Professional | 52 · Reduced service | $24.55 | $28.84 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $11.75 | $14.13 |
Where Texas sits
The same service costs 3.9 times more in Alaska 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
$43.65
AK $170TX $43.65
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.