How much rates vary
Facilitymedian $115 · 10th to 90th $25 to $692Professionalmedian $26 · 10th to 90th $4 to $603
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 $15.85 Median $19.05 Typical High $33.88 | Facility | None | $15.85 | $19.05 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $64.57 | Facility | TC · Technical part | $16.60 | $21.88 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.42 Typical High $38.90 | Professional | None (both parts) | $15.85 | $20.42 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.00 Median $2.63 Typical High $4.27 | Professional | 26 · Professional part | $2.00 | $2.63 | $4.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $17.78 Typical High $35.48 | Professional | TC · Technical part | $13.80 | $17.78 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $20.42 Typical High $22.39 | Professional | None (both parts) | $18.20 | $20.42 | $22.39 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.82 Typical High $4.27 | Professional | 26 · Professional part | $2.29 | $2.82 | $4.27 |
BCBS Texas Setting Facility Modifier None Typical Low $24.55 Median $61.66 Typical High $117.49 | Facility | None | $24.55 | $61.66 | $117.49 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $2.51 Median $16.60 Typical High $30.90 | Professional | None (both parts) | $2.51 | $16.60 | $30.90 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $22.91 Median $23.44 Typical High $38.02 | Professional | None (both parts) | $22.91 | $23.44 | $38.02 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 26 · Professional part | $3.24 | $3.24 | $3.24 |
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 $25.12 Median $28.84 Typical High $60.26 | Professional | None (both parts) | $25.12 | $28.84 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.80 Typical High $6.17 | Professional | 26 · Professional part | $3.24 | $3.80 | $6.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $25.12 | $48.98 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $602.56 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $181.97 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $630.96 Typical High $912.01 | Facility | None | $194.98 | $630.96 | $912.01 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $30.20 Typical High $1,148.15 | Facility | TC · Technical part | $16.60 | $30.20 | $1,148.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.89 Typical High $46.77 | Professional | None (both parts) | $15.85 | $20.89 | $46.77 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $2.00 Median $2.69 Typical High $5.75 | Professional | 26 · Professional part | $2.00 | $2.69 | $5.75 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $17.78 Typical High $34.67 | Professional | TC · Technical part | $13.80 | $17.78 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.68 Median $26.30 Typical High $36.31 | Professional | None (both parts) | $4.68 | $26.30 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $2,511.89 Typical High $2,511.89 | Facility | None | $812.83 | $2,511.89 | $2,511.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $5.75 Median $26.30 Typical High $51.29 | Professional | None (both parts) | $5.75 | $26.30 | $51.29 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $162.18 | Facility | None | $19.05 | $27.54 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $25.12 | $28.84 | $54.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.72 Typical High $6.03 | Professional | 26 · Professional part | $3.24 | $3.72 | $6.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $25.12 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $26.30 Typical High $97.72 | Professional | None (both parts) | $19.50 | $26.30 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $3.39 Typical High $5.37 | Professional | 26 · Professional part | $2.45 | $3.39 | $5.37 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $87.10 | Professional | TC · Technical part | $17.38 | $22.91 | $87.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 26 · Professional part | $3.31 | $3.31 | $3.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | TC · Technical part | $20.42 | $20.42 | $20.42 |
8 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 $8.32 Median $12.59 Typical High $32.36 | Facility | 52 · Reduced service | $8.32 | $12.59 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $5.01 Typical High $12.88 | Facility | 53 · Discontinued | $3.39 | $5.01 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $9.55 Typical High $12.59 | Professional | 52 · Reduced service | $7.94 | $9.55 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.80 Typical High $5.01 | Professional | 53 · Discontinued | $3.16 | $3.80 | $5.01 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $15.85 Median $18.62 Typical High $28.84 | Professional | 59 · Distinct service | $15.85 | $18.62 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $9.55 Typical High $12.59 | Professional | 52 · Reduced service | $7.94 | $9.55 | $12.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.80 Typical High $5.01 | Professional | 53 · Discontinued | $3.16 | $3.80 | $5.01 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $3.63 Median $38.02 Typical High $173.78 | Professional | 59 · Distinct service | $3.63 | $38.02 | $173.78 |
Where Texas sits
The same service costs 2.9 times more in Kansas 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· 49th of 51
$26.30
KS $74.13MD $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.