How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,622 to $13,804Professionalmedian $646 · 10th to 90th $91 to $6,026
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 $1,318.26 Median $4,677.35 Typical High $13,182.57 | Facility | None | $1,318.26 | $4,677.35 | $13,182.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $5,754.40 | Professional | None (both parts) | $616.60 | $812.83 | $5,754.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $190.55 Typical High $316.23 | Professional | 26 · Professional part | $144.54 | $190.55 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $588.84 Typical High $891.25 | Professional | TC · Technical part | $467.74 | $588.84 | $891.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
BCBS Texas Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $11,748.98 | Facility | None | $1,659.59 | $3,467.37 | $11,748.98 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $218.78 Median $794.33 Typical High $1,445.44 | Professional | None (both parts) | $218.78 | $794.33 | $1,445.44 |
Christus Setting Facility Modifier TC · Technical part Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | TC · Technical part | $2,089.30 | $2,089.30 | $2,089.30 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $16,218.10 | Facility | None | $1,778.28 | $2,691.53 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $1,071.52 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $239.88 | $275.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $645.65 | $794.33 | $1,071.52 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $6,025.60 | $7,585.78 | $7,585.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,445.44 Median $1,995.26 Typical High $1,995.26 | Professional | 26 · Professional part | $1,445.44 | $1,995.26 | $1,995.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,570.88 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $4,570.88 | $5,623.41 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $13,489.63 | Facility | None | $831.76 | $3,715.35 | $13,489.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $1,659.59 | Professional | None (both parts) | $616.60 | $794.33 | $1,659.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $190.55 Typical High $331.13 | Professional | 26 · Professional part | $144.54 | $190.55 | $331.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $588.84 Typical High $977.24 | Professional | TC · Technical part | $467.74 | $588.84 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $223.87 Typical High $831.76 | Professional | None (both parts) | $41.69 | $223.87 | $831.76 |
Providence Setting Facility Modifier None Typical Low $1,148.15 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,148.15 | $2,344.23 | $16,218.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $1,071.52 | $1,548.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $234.42 | $275.42 | $446.68 |
Providence Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $645.65 | $794.33 | $1,047.13 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $16,595.87 | Facility | None | $2,137.96 | $5,248.07 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $977.24 Typical High $1,513.56 | Professional | None (both parts) | $707.95 | $977.24 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $275.42 Typical High $426.58 | Professional | 26 · Professional part | $194.98 | $275.42 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $707.95 Typical High $1,047.13 | Professional | TC · Technical part | $512.86 | $707.95 | $1,047.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
2 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 Professional Modifier 54 · Surgery only Typical Low $457.09 Median $562.34 Typical High $724.44 | Professional | 54 · Surgery only | $457.09 | $562.34 | $724.44 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $562.34 Typical High $724.44 | Professional | 54 · Surgery only | $457.09 | $562.34 | $724.44 |
Where Texas sits
The same service costs 4.2 times more in Wisconsin 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· 46th of 51
$1,000
WI $3,631NY $871
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.