How much rates vary
Facilitymedian $1,445 · 10th to 90th $537 to $2,692Professionalmedian $437 · 10th to 90th $141 to $2,570
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 $338.84 Median $416.87 Typical High $537.03 | Facility | None | $338.84 | $416.87 | $537.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $501.19 Typical High $1,479.11 | Facility | TC · Technical part | $389.05 | $501.19 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $338.84 | $416.87 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $104.71 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $616.60 | Professional | TC · Technical part | $316.23 | $389.05 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $144.54 | $147.91 | $177.83 |
BCBS Texas Setting Facility Modifier None Typical Low $660.69 Median $1,513.56 Typical High $2,691.53 | Facility | None | $660.69 | $1,513.56 | $2,691.53 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $112.20 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $112.20 | $602.56 | $1,202.26 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $125.89 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $436.52 Typical High $912.01 | Facility | None | $141.25 | $436.52 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $263.03 | $309.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $131.83 | $154.88 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $134.90 | $151.36 | $229.09 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,570.40 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,023.29 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $2,041.74 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $8,317.64 | Facility | None | $338.84 | $588.84 | $8,317.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $338.84 | $416.87 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $104.71 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $562.34 | Professional | TC · Technical part | $316.23 | $389.05 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $128.82 | $144.54 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $128.82 | $269.15 | $512.86 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $794.33 | Facility | None | $141.25 | $478.63 | $794.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $263.03 | $302.00 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $131.83 | $151.36 | $229.09 |
Providence Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $134.90 | $151.36 | $223.87 |
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 $346.74 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $346.74 | $575.44 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $138.04 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $190.55 | $436.52 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
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 $194.98 Median $269.15 Typical High $741.31 | Facility | 52 · Reduced service | $194.98 | $269.15 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $107.15 Typical High $295.12 | Facility | 53 · Discontinued | $77.62 | $107.15 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $204.17 Typical High $269.15 | Professional | 52 · Reduced service | $169.82 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $107.15 | Professional | 53 · Discontinued | $67.61 | $83.18 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $204.17 Typical High $269.15 | Professional | 52 · Reduced service | $169.82 | $204.17 | $269.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $107.15 | Professional | 53 · Discontinued | $67.61 | $83.18 | $107.15 |
Where Texas sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 37th of 51
$457
AK $1,000WA $324
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.