How much rates vary
Facilitymedian $76 · 10th to 90th $50 to $186Professionalmedian $51 · 10th to 90th $10 to $117
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 $60.26 Typical High $75.86 | Facility | None | $48.98 | $60.26 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $117.49 | Facility | TC · Technical part | $30.90 | $39.81 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $48.98 | $61.66 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $30.20 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $25.12 | $30.90 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $63.10 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $34.67 | $44.67 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $107.15 Typical High $194.98 | Facility | None | $46.77 | $107.15 | $194.98 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $28.84 | $57.54 | $102.33 |
Baylor Scott & White Setting Facility Modifier None Typical Low $37.15 Median $70.79 Typical High $120.23 | Facility | None | $37.15 | $70.79 | $120.23 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $75.86 | Facility | None | $20.42 | $33.11 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $56.23 | $83.18 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $41.69 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $38.90 | $46.77 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $562.34 | $562.34 | $602.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | 26 · Professional part | $251.19 | $251.19 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $245.47 | $245.47 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $416.87 | Facility | None | $48.98 | $85.11 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $48.98 | $61.66 | $97.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $30.20 | $48.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $25.12 | $30.90 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.75 Median $31.62 Typical High $66.07 | Professional | None (both parts) | $5.75 | $31.62 | $66.07 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $36.31 | $70.79 | $141.25 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $69.18 Typical High $97.72 | Facility | None | $20.42 | $69.18 | $97.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $56.23 | $83.18 | $104.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $41.69 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $38.90 | $46.77 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $50.12 | $66.07 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $40.74 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $24.55 | $41.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 59 · Distinct service | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | XU · Unusual separate service | $69.18 | $69.18 | $69.18 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 49th of 51
$52.48
AK $166UT $48.98
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.