How much rates vary
Facilitymedian $437 · 10th to 90th $178 to $1,318Professionalmedian $132 · 10th to 90th $21 to $1,148
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 $125.89 Median $151.36 Typical High $194.98 | Facility | None | $125.89 | $151.36 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $371.54 | Facility | TC · Technical part | $97.72 | $125.89 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $125.89 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $56.23 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $97.72 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $218.78 | Professional | None (both parts) | $181.97 | $213.80 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $66.07 | $66.07 | $81.28 |
BCBS Texas Setting Facility Modifier None Typical Low $162.18 Median $363.08 Typical High $691.83 | Facility | None | $162.18 | $363.08 | $691.83 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $64.57 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $64.57 | $162.18 | $302.00 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $177.83 | $204.17 | $239.88 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $69.18 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $436.52 Typical High $912.01 | Facility | None | $123.03 | $436.52 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $194.98 | $234.42 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $83.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $144.54 | $218.78 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $204.17 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,584.89 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 26 · Professional part | $741.31 | $741.31 | $741.31 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Professional | TC · Technical part | $977.24 | $977.24 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $1,621.81 Typical High $2,398.83 | Facility | None | $229.09 | $1,621.81 | $2,398.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $125.89 | $151.36 | $257.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $56.23 | $97.72 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $97.72 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $69.18 Typical High $165.96 | Professional | None (both parts) | $12.30 | $69.18 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $75.86 | $190.55 | $407.38 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $218.78 Typical High $549.54 | Facility | None | $125.89 | $218.78 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $194.98 | $229.09 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $83.18 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $144.54 | $208.93 |
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 $154.88 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $154.88 | $204.17 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $128.82 | $194.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
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 $51.29 Median $79.43 Typical High $186.21 | Facility | 52 · Reduced service | $51.29 | $79.43 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $32.36 Typical High $74.13 | Facility | 53 · Discontinued | $20.89 | $32.36 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $63.10 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $25.12 | $30.20 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $63.10 | $75.86 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $25.12 | $30.20 | $38.90 |
Where Texas sits
The same service costs 3.9 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
$138
AK $468UT $120
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.