How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,738 to $12,882Professionalmedian $871 · 10th to 90th $117 to $8,128
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 $831.76 Median $1,071.52 Typical High $6,606.93 | Professional | None (both parts) | $831.76 | $1,071.52 | $6,606.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $275.42 Typical High $436.52 | Professional | 26 · Professional part | $213.80 | $275.42 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $758.58 Typical High $1,096.48 | Professional | TC · Technical part | $616.60 | $758.58 | $1,096.48 |
BCBS Texas Setting Facility Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $11,748.98 | Facility | None | $1,659.59 | $3,548.13 | $11,748.98 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,071.52 Typical High $2,089.30 | Professional | None (both parts) | $323.59 | $1,071.52 | $2,089.30 |
Christus Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
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 $1,230.27 Median $1,479.11 Typical High $2,238.72 | Professional | None (both parts) | $1,230.27 | $1,479.11 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $407.38 Typical High $645.65 | Professional | 26 · Professional part | $354.81 | $407.38 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | TC · Technical part | $870.96 | $1,071.52 | $1,548.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,128.31 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $8,128.31 | $10,471.29 | $10,471.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Professional | 26 · Professional part | $2,137.96 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,025.60 Median $7,413.10 Typical High $7,413.10 | Professional | TC · Technical part | $6,025.60 | $7,413.10 | $7,413.10 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $3,715.35 Typical High $13,489.63 | Facility | None | $1,096.48 | $3,715.35 | $13,489.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $2,137.96 | Professional | None (both parts) | $831.76 | $1,071.52 | $2,137.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $281.84 Typical High $489.78 | Professional | 26 · Professional part | $213.80 | $281.84 | $489.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $776.25 Typical High $1,230.27 | Professional | TC · Technical part | $616.60 | $776.25 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $288.40 Typical High $1,096.48 | Professional | None (both parts) | $53.70 | $288.40 | $1,096.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $3,090.30 Typical High $4,365.16 | Professional | None (both parts) | $1,230.27 | $3,090.30 | $4,365.16 |
Providence Setting Facility Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,548.82 | $2,344.23 | $16,218.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,479.11 Typical High $2,238.72 | Professional | None (both parts) | $1,202.26 | $1,479.11 | $2,238.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $645.65 | Professional | 26 · Professional part | $346.74 | $407.38 | $645.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,071.52 Typical High $1,548.82 | Professional | TC · Technical part | $851.14 | $1,071.52 | $1,548.82 |
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 $977.24 Median $1,380.38 Typical High $2,187.76 | Professional | None (both parts) | $977.24 | $1,380.38 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $407.38 Typical High $630.96 | Professional | 26 · Professional part | $288.40 | $407.38 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,000.00 Typical High $1,513.56 | Professional | TC · Technical part | $707.95 | $1,000.00 | $1,513.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
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 $630.96 Median $776.25 Typical High $977.24 | Professional | 54 · Surgery only | $630.96 | $776.25 | $977.24 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $776.25 Typical High $977.24 | Professional | 54 · Surgery only | $630.96 | $776.25 | $977.24 |
Where Texas sits
The same service costs 3.9 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· 43rd of 51
$1,479
WI $4,898NY $1,259
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.