How much rates vary
Facilitymedian $151 · 10th to 90th $48 to $3,020Professionalmedian $138 · 10th to 90th $71 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 $70.79 Median $89.13 Typical High $109.65 | Facility | None | $70.79 | $89.13 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $70.79 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $41.69 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $38.02 | $46.77 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $25.70 | $75.86 | $89.13 |
BCBS Setting Facility Modifier None Typical Low $40.74 Median $131.83 Typical High $14,791.08 | Facility | None | $40.74 | $131.83 | $14,791.08 |
BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $46.77 | $85.11 | $128.82 |
Christus Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $112.20 | $138.04 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $64.57 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $74.13 | $134.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $6,025.60 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $630.96 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $5,888.44 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $218.78 | Facility | None | $89.13 | $138.04 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $70.79 | $89.13 | $114.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $41.69 | $100.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $46.77 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $66.07 | $72.44 | $85.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $263.03 | $269.15 | $281.84 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $204.17 | Facility | None | $89.13 | $138.04 | $204.17 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $112.20 | $131.83 | $257.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $61.66 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $70.79 | $131.83 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $125.89 | $181.97 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $72.44 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $107.15 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
4 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 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $17.78 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $44.67 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $17.78 | $21.88 |
Where Texas sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 48th of 51
$141
WI $417VA $110
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.