How much rates vary
Facilitymedian $204 · 10th to 90th $87 to $603Professionalmedian $79 · 10th to 90th $14 to $263
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 $66.07 Median $79.43 Typical High $144.54 | Facility | None | $66.07 | $79.43 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $229.09 | Facility | TC · Technical part | $48.98 | $72.44 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $66.07 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $21.38 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $63.10 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $100.00 | Professional | None (both parts) | $57.54 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $20.89 | $31.62 |
BCBS Texas Setting Facility Modifier None Typical Low $81.28 Median $204.17 Typical High $398.11 | Facility | None | $81.28 | $204.17 | $398.11 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $20.89 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $20.89 | $70.79 | $134.90 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $97.72 | $107.15 | $144.54 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $213.80 Typical High $407.38 | Facility | None | $75.86 | $213.80 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $104.71 | $120.23 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $30.20 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $91.20 | $128.82 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $95.50 | $131.83 | $223.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $691.83 | $691.83 | $870.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $234.42 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $676.08 | Professional | TC · Technical part | $478.63 | $478.63 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $1,000.00 | Facility | None | $123.03 | $501.19 | $1,000.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $776.25 | Facility | TC · Technical part | $60.26 | $77.62 | $776.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $66.07 | $85.11 | $173.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $21.88 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $63.10 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $10.00 | $52.48 | $100.00 |
Oscar Health Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $933.25 | Facility | None | $676.08 | $933.25 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $27.54 | $104.71 | $218.78 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $281.84 | Facility | None | $75.86 | $117.49 | $281.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $104.71 | $120.23 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $29.51 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $91.20 | $123.03 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $81.28 | $107.15 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $26.30 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $58.88 | $81.28 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
7 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 $31.62 Median $48.98 Typical High $114.82 | Facility | 52 · Reduced service | $31.62 | $48.98 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $19.95 Typical High $45.71 | Facility | 53 · Discontinued | $12.59 | $19.95 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $32.36 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.85 Typical High $20.42 | Professional | 53 · Discontinued | $13.18 | $15.85 | $20.42 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 59 · Distinct service | $67.61 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $32.36 | $39.81 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.85 Typical High $20.42 | Professional | 53 · Discontinued | $13.18 | $15.85 | $20.42 |
Where Texas sits
The same service costs 3.8 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
$79.43
MN $275UT $72.44
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.