How much rates vary
Facilitymedian $263 · 10th to 90th $66 to $4,677Professionalmedian $263 · 10th to 90th $100 to $2,951
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 $660.69 Median $3,890.45 Typical High $12,589.25 | Facility | None | $660.69 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $169.82 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $77.62 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $112.20 | $138.04 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $91.20 | $91.20 | $117.49 |
BCBS Texas Setting Facility Modifier None Typical Low $50.12 Median $218.78 Typical High $851.14 | Facility | None | $50.12 | $218.78 | $851.14 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $75.86 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $75.86 | $147.91 | $177.83 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $275.42 | $331.13 | $436.52 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $275.42 | $316.23 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $95.50 | $112.20 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $208.93 | $295.12 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 26 · Professional part | $1,513.56 | $1,513.56 | $1,513.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $4,786.30 Typical High $12,589.25 | Facility | None | $363.08 | $4,786.30 | $12,589.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $169.82 | $213.80 | $281.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $79.43 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $138.04 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $100.00 | $109.65 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $331.13 | $338.84 | $363.08 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $263.03 Typical High $407.38 | Facility | None | $213.80 | $263.03 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $263.03 | $316.23 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $112.20 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $208.93 | $295.12 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $223.87 | $316.23 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $104.71 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $208.93 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
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 $85.11 Median $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $42.66 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $42.66 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $107.15 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $42.66 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $42.66 | $53.70 |
Where Texas sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 45th of 51
$263
WI $891HI $138
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.