How much rates vary
Facilitymedian $48 · 10th to 90th $7 to $389Professionalmedian $27 · 10th to 90th $6 to $79
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 $16.98 Median $20.42 Typical High $36.31 | Facility | None | $16.98 | $20.42 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $57.54 | Facility | TC · Technical part | $14.79 | $19.50 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $21.88 Typical High $35.48 | Professional | None (both parts) | $16.98 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $6.03 Typical High $9.77 | Professional | 26 · Professional part | $4.57 | $6.03 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.49 Typical High $25.12 | Professional | TC · Technical part | $12.30 | $15.49 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | None (both parts) | $19.50 | $19.50 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.24 Typical High $8.91 | Professional | 26 · Professional part | $5.75 | $7.24 | $8.91 |
BCBS Texas Setting Facility Modifier None Typical Low $21.88 Median $54.95 Typical High $104.71 | Facility | None | $21.88 | $54.95 | $104.71 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $5.75 Median $17.78 Typical High $38.90 | Professional | None (both parts) | $5.75 | $17.78 | $38.90 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $38.02 | Professional | None (both parts) | $24.55 | $27.54 | $38.02 |
Christus Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $26.92 | $31.62 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $8.71 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $22.39 | $35.48 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $28.18 | $33.11 | $33.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $154.88 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $398.11 Typical High $891.25 | Facility | None | $61.66 | $398.11 | $891.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $22.39 Typical High $43.65 | Professional | None (both parts) | $16.98 | $22.39 | $43.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $6.17 Typical High $12.59 | Professional | 26 · Professional part | $4.57 | $6.17 | $12.59 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.49 Typical High $25.70 | Professional | TC · Technical part | $12.30 | $15.49 | $25.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $26.30 Typical High $36.31 | Professional | None (both parts) | $4.90 | $26.30 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $26.92 Typical High $54.95 | Professional | None (both parts) | $8.51 | $26.92 | $54.95 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $72.44 | Facility | None | $20.42 | $29.51 | $72.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $26.92 | $30.90 | $48.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $8.51 | $12.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $19.50 | $21.88 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $28.18 Typical High $53.70 | Professional | None (both parts) | $20.89 | $28.18 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.59 Typical High $11.48 | Professional | 26 · Professional part | $5.75 | $7.59 | $11.48 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $15.49 | $20.42 | $42.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | TC · Technical part | $18.20 | $18.20 | $18.20 |
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 $7.94 Median $12.30 Typical High $28.84 | Facility | 52 · Reduced service | $7.94 | $12.30 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $4.90 Typical High $11.48 | Facility | 53 · Discontinued | $3.16 | $4.90 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $8.51 | $10.23 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $5.37 | Professional | 53 · Discontinued | $3.39 | $4.07 | $5.37 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $8.51 | $10.23 | $13.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $5.37 | Professional | 53 · Discontinued | $3.39 | $4.07 | $5.37 |
Where Texas sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 48th of 51
$27.54
MN $69.18MD $25.70
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.