How much rates vary
Facilitymedian $229 · 10th to 90th $48 to $3,715Professionalmedian $155 · 10th to 90th $69 to $2,570
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 $794.33 Median $3,890.45 Typical High $12,589.25 | Facility | None | $794.33 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $102.33 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $60.26 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $69.18 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $72.44 | $74.13 | $93.33 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $169.82 Typical High $676.08 | Facility | None | $39.81 | $169.82 | $676.08 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $60.26 | $102.33 | $117.49 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $165.96 | $229.09 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $165.96 | $194.98 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $89.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $104.71 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $1,202.26 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $1,862.09 Typical High $7,244.36 | Facility | None | $141.25 | $1,862.09 | $7,244.36 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $102.33 | $128.82 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $60.26 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $56.23 | $69.18 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | None (both parts) | $66.07 | $72.44 | $83.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $263.03 | $269.15 | $281.84 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $239.88 | Facility | None | $128.82 | $162.18 | $239.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $162.18 | $194.98 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $89.13 | $128.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $104.71 | $147.91 |
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 $134.90 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $134.90 | $186.21 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $83.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $102.33 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $74.13 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $74.13 | $141.25 | $199.53 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
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 $51.29 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $32.36 | Professional | 53 · Discontinued | $20.42 | $25.70 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $64.57 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $32.36 | Professional | 53 · Discontinued | $20.42 | $25.70 | $32.36 |
Where Texas sits
The same service costs 4.3 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· 41st of 51
$186
WI $562HI $132
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.