How much rates vary
Facilitymedian $66 · 10th to 90th $23 to $123Professionalmedian $19 · 10th to 90th $10 to $148
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 $10.23 Median $15.49 Typical High $23.44 | Facility | None | $10.23 | $15.49 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $6.17 Median $7.94 Typical High $23.44 | Facility | TC · Technical part | $6.17 | $7.94 | $23.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $12.59 Typical High $21.38 | Professional | None (both parts) | $10.23 | $12.59 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.61 Typical High $11.22 | Professional | 26 · Professional part | $5.25 | $6.61 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $6.17 Typical High $10.96 | Professional | TC · Technical part | $5.01 | $6.17 | $10.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
BCBS Texas Setting Facility Modifier None Typical Low $31.62 Median $70.79 Typical High $128.82 | Facility | None | $31.62 | $70.79 | $128.82 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $7.41 Median $14.45 Typical High $26.30 | Professional | None (both parts) | $7.41 | $14.45 | $26.30 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $31.62 | Facility | None | $20.89 | $25.12 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.05 Typical High $25.70 | Professional | None (both parts) | $12.88 | $19.05 | $25.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.55 Typical High $12.59 | Professional | 26 · Professional part | $6.31 | $9.55 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $9.55 Typical High $12.59 | Professional | TC · Technical part | $6.61 | $9.55 | $12.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $100.00 | $147.91 | $147.91 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $69.18 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $75.86 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $15.85 Typical High $19.50 | Facility | None | $10.23 | $15.85 | $19.50 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $12.59 Typical High $22.39 | Professional | None (both parts) | $10.23 | $12.59 | $22.39 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.46 Typical High $11.22 | Professional | 26 · Professional part | $5.25 | $6.46 | $11.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $6.17 Typical High $10.96 | Professional | TC · Technical part | $5.01 | $6.17 | $10.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $17.38 Typical High $34.67 | Professional | None (both parts) | $8.71 | $17.38 | $34.67 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $18.62 Typical High $28.18 | Facility | None | $12.59 | $18.62 | $28.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.05 Typical High $25.12 | Professional | None (both parts) | $12.88 | $19.05 | $25.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $9.33 | $12.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $9.55 Typical High $11.75 | Professional | TC · Technical part | $6.61 | $9.55 | $11.75 |
United Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $60.26 | Facility | None | $43.65 | $45.71 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $12.59 Median $16.98 Typical High $25.12 | Professional | None (both parts) | $12.59 | $16.98 | $25.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $6.46 | $8.51 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $6.03 Median $8.32 Typical High $12.30 | Professional | TC · Technical part | $6.03 | $8.32 | $12.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None (both parts) | $16.98 | $16.98 | $16.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | TC · Technical part | $8.71 | $8.71 | $8.71 |
6 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 Facility Modifier 52 · Reduced service Typical Low $3.24 Median $6.31 Typical High $11.75 | Facility | 52 · Reduced service | $3.24 | $6.31 | $11.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $2.51 Typical High $4.68 | Facility | 53 · Discontinued | $1.29 | $2.51 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $6.46 Typical High $9.12 | Professional | 52 · Reduced service | $5.13 | $6.46 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.63 Typical High $3.63 | Professional | 53 · Discontinued | $2.04 | $2.63 | $3.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $6.46 Typical High $8.32 | Professional | 52 · Reduced service | $5.13 | $6.46 | $8.32 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.57 Typical High $3.31 | Professional | 53 · Discontinued | $2.04 | $2.57 | $3.31 |
Where Texas sits
The same service costs 2.7 times more in Minnesota 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· 31st of 51
$19.05
MN $38.02FL $14.13
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.