How much rates vary
Facilitymedian $479 · 10th to 90th $162 to $2,630Professionalmedian $132 · 10th to 90th $22 to $295
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 $131.83 Median $165.96 Typical High $281.84 | Facility | None | $131.83 | $165.96 | $281.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $93.33 | Facility | 26 · Professional part | $44.67 | $57.54 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $380.19 | Facility | TC · Technical part | $95.50 | $123.03 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $131.83 | $173.78 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $58.88 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $112.20 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $131.83 | $162.18 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $58.88 | $81.28 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $85.11 | $85.11 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $724.44 | Facility | None | $147.91 | $371.54 | $724.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $58.88 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $58.88 | $141.25 | $269.15 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $190.55 | $229.09 | $316.23 |
Christus Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $69.18 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $1,548.82 | Facility | None | $151.36 | $489.78 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $213.80 | $245.47 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $83.18 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $162.18 | $251.19 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $190.55 | $229.09 | $489.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $3,981.07 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $436.52 | $562.34 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,023.29 | $1,122.02 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,584.89 Typical High $3,890.45 | Facility | None | $457.09 | $1,584.89 | $3,890.45 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $100.00 | Facility | 26 · Professional part | $54.95 | $66.07 | $100.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $1,230.27 Typical High $1,995.26 | Facility | TC · Technical part | $107.15 | $1,230.27 | $1,995.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $131.83 | $186.21 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $66.07 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $109.65 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $69.18 Typical High $165.96 | Professional | None (both parts) | $12.30 | $69.18 | $165.96 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $891.25 | Facility | None | $602.56 | $891.25 | $891.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $75.86 | $208.93 | $426.58 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $512.86 | Facility | None | $151.36 | $229.09 | $512.86 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $213.80 | $239.88 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $83.18 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $138.04 | $158.49 | $245.47 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $165.96 | $223.87 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $75.86 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $147.91 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $128.82 | $128.82 | $128.82 |
3 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 $131.83 Median $151.36 Typical High $194.98 | Professional | 59 · Distinct service | $131.83 | $151.36 | $194.98 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | Q6 · Substitute physician, paid per time | $158.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $239.88 Typical High $912.01 | Professional | 59 · Distinct service | $64.57 | $239.88 | $912.01 |
Where Texas sits
The same service costs 6.3 times more in Minnesota 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· 50th of 51
$141
MN $759UT $120
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.