How much rates vary
Facilitymedian $98 · 10th to 90th $55 to $269Professionalmedian $30 · 10th to 90th $6 to $81
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 $14.13 Median $22.91 Typical High $29.51 | Facility | None | $14.13 | $22.91 | $29.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.18 Median $17.38 Typical High $50.12 | Facility | TC · Technical part | $13.18 | $17.38 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $33.88 | Professional | None (both parts) | $18.62 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $7.94 | $10.23 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.49 Typical High $19.50 | Professional | TC · Technical part | $10.96 | $13.49 | $19.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
BCBS Texas Setting Facility Modifier None Typical Low $66.07 Median $162.18 Typical High $295.12 | Facility | None | $66.07 | $162.18 | $295.12 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $11.48 Median $27.54 Typical High $50.12 | Professional | None (both parts) | $11.48 | $27.54 | $50.12 |
Christus Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $50.12 Typical High $112.20 | Facility | None | $20.42 | $50.12 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $25.12 | $37.15 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.79 Typical High $19.95 | Professional | 26 · Professional part | $9.77 | $14.79 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $15.14 | $22.39 | $31.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $83.18 | Facility | None | $18.62 | $31.62 | $83.18 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $35.48 | Professional | None (both parts) | $18.62 | $23.44 | $35.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $10.23 | $13.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.49 Typical High $20.89 | Professional | TC · Technical part | $10.96 | $13.49 | $20.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.01 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $5.01 | $28.18 | $34.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $13.80 | $33.11 | $66.07 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $83.18 | Facility | None | $20.42 | $35.48 | $83.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $25.12 | $37.15 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $14.45 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.39 Typical High $30.20 | Professional | TC · Technical part | $15.14 | $22.39 | $30.20 |
United Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $123.03 | Facility | None | $89.13 | $93.33 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $23.44 | $32.36 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $12.59 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $18.62 Typical High $38.02 | Professional | TC · Technical part | $13.80 | $18.62 | $38.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $20.89 | $20.89 | $20.89 |
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 $7.08 Median $11.48 Typical High $25.12 | Facility | 52 · Reduced service | $7.08 | $11.48 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $4.57 Typical High $10.00 | Facility | 53 · Discontinued | $2.82 | $4.57 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $11.75 Typical High $16.98 | Professional | 52 · Reduced service | $9.33 | $11.75 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.79 Typical High $6.76 | Professional | 53 · Discontinued | $3.80 | $4.79 | $6.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $11.75 Typical High $15.14 | Professional | 52 · Reduced service | $9.33 | $11.75 | $15.14 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.68 Typical High $6.17 | Professional | 53 · Discontinued | $3.80 | $4.68 | $6.17 |
Where Texas sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 46th of 51
$30.90
MN $74.13AL $28.18
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.