How much rates vary
Facilitymedian $269 · 10th to 90th $123 to $490Professionalmedian $219 · 10th to 90th $105 to $1,479
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 $114.82 Median $141.25 Typical High $177.83 | Facility | None | $114.82 | $141.25 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $263.03 | Facility | TC · Technical part | $69.18 | $91.20 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $114.82 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $72.44 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $69.18 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $288.40 Typical High $512.86 | Facility | None | $123.03 | $288.40 | $512.86 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $79.43 | $125.89 | $190.55 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $186.21 | $213.80 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $104.71 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $104.71 | $158.49 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,258.93 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | 26 · Professional part | $549.54 | $549.54 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $316.23 | Facility | None | $141.25 | $199.53 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $114.82 | $141.25 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $72.44 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $69.18 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $97.72 | $107.15 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $89.13 | $199.53 | $457.09 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $295.12 | Facility | None | $125.89 | $204.17 | $295.12 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $186.21 | $208.93 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $91.20 | $104.71 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $93.33 | $104.71 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $213.80 | $275.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $97.72 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $141.25 | $177.83 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
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 $36.31 Median $70.79 Typical High $131.83 | Facility | 52 · Reduced service | $36.31 | $70.79 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $28.18 Typical High $52.48 | Facility | 53 · Discontinued | $14.79 | $28.18 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $57.54 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $22.91 | $28.18 | $35.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $57.54 | $70.79 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $22.91 | $28.18 | $35.48 |
Where Texas sits
The same service costs 3.1 times more in Alaska than in New York. 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· 40th of 51
$219
AK $537NY $174
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.