How much rates vary
Facilitymedian $417 · 10th to 90th $186 to $759Professionalmedian $148 · 10th to 90th $21 to $1,514
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 $151.36 Median $186.21 Typical High $234.42 | Facility | None | $151.36 | $186.21 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $436.52 | Facility | TC · Technical part | $114.82 | $151.36 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $151.36 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $70.79 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $93.33 | $114.82 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $81.28 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $794.33 | Facility | None | $204.17 | $457.09 | $794.33 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $79.43 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $79.43 | $194.98 | $380.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 26 · Professional part | $81.28 | $81.28 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $239.88 | $281.84 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $104.71 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $173.78 | $323.59 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,995.26 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,995.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | 26 · Professional part | $562.34 | $562.34 | $741.31 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $354.81 | Facility | None | $186.21 | $234.42 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $151.36 | $186.21 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $70.79 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $114.82 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $100.00 Typical High $229.09 | Professional | None (both parts) | $17.78 | $100.00 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $102.33 | $239.88 | $512.86 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $363.08 | Facility | None | $186.21 | $269.15 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $239.88 | $275.42 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $104.71 | $128.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $194.98 | $263.03 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $89.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $177.83 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
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 $60.26 Median $95.50 Typical High $218.78 | Facility | 52 · Reduced service | $60.26 | $95.50 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $87.10 | Facility | 53 · Discontinued | $24.55 | $38.02 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $37.15 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $93.33 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $37.15 | $47.86 |
Where Texas sits
The same service costs 4.7 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· 50th of 51
$151
AK $589UT $126
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.