How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,995 to $13,804Professionalmedian $813 · 10th to 90th $115 to $7,586
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 $776.25 Median $1,000.00 Typical High $5,370.32 | Professional | None (both parts) | $776.25 | $1,000.00 | $5,370.32 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $245.47 Typical High $363.08 | Professional | 26 · Professional part | $194.98 | $245.47 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $707.95 Typical High $1,000.00 | Professional | TC · Technical part | $588.84 | $707.95 | $1,000.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 26 · Professional part | $281.84 | $281.84 | $309.03 |
BCBS Texas Setting Facility Modifier None Typical Low $3,162.28 Median $7,079.46 Typical High $13,182.57 | Facility | None | $3,162.28 | $7,079.46 | $13,182.57 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,000.00 Typical High $1,905.46 | Professional | None (both parts) | $295.12 | $1,000.00 | $1,905.46 |
Christus Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
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 $1,122.02 Median $1,380.38 Typical High $1,995.26 | Professional | None (both parts) | $1,122.02 | $1,380.38 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $588.84 | Professional | 26 · Professional part | $316.23 | $371.54 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,380.38 | Professional | TC · Technical part | $812.83 | $1,000.00 | $1,380.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,585.78 Median $9,772.37 Typical High $9,772.37 | Professional | None (both parts) | $7,585.78 | $9,772.37 | $9,772.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,905.46 Median $2,630.27 Typical High $2,630.27 | Professional | 26 · Professional part | $1,905.46 | $2,630.27 | $2,630.27 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $7,079.46 Typical High $7,079.46 | Professional | TC · Technical part | $5,623.41 | $7,079.46 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $1,023.29 Median $3,715.35 Typical High $13,489.63 | Facility | None | $1,023.29 | $3,715.35 | $13,489.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $977.24 Typical High $1,819.70 | Professional | None (both parts) | $776.25 | $977.24 | $1,819.70 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $446.68 | Professional | 26 · Professional part | $194.98 | $251.19 | $446.68 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $724.44 Typical High $1,122.02 | Professional | TC · Technical part | $588.84 | $724.44 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $288.40 Typical High $1,047.13 | Professional | None (both parts) | $53.70 | $288.40 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,479.11 | $2,344.23 | $16,218.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,380.38 Typical High $1,995.26 | Professional | None (both parts) | $1,122.02 | $1,380.38 | $1,995.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $588.84 | Professional | 26 · Professional part | $316.23 | $371.54 | $588.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,380.38 | Professional | TC · Technical part | $812.83 | $1,000.00 | $1,380.38 |
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 $912.01 Median $1,258.93 Typical High $1,949.84 | Professional | None (both parts) | $912.01 | $1,258.93 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $363.08 Typical High $562.34 | Professional | 26 · Professional part | $257.04 | $363.08 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $912.01 Typical High $1,348.96 | Professional | TC · Technical part | $660.69 | $912.01 | $1,348.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
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 $588.84 Median $724.44 Typical High $912.01 | Professional | 54 · Surgery only | $588.84 | $724.44 | $912.01 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $724.44 Typical High $912.01 | Professional | 54 · Surgery only | $588.84 | $724.44 | $912.01 |
Where Texas sits
The same service costs 4.0 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· 50th of 51
$1,148
WI $4,467NY $1,122
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.