How much rates vary
Facilitymedian $6,166 · 10th to 90th $724 to $27,542Professionalmedian $224 · 10th to 90th $110 to $12,882
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 $1,148.15 Median $4,168.69 Typical High $12,589.25 | Facility | None | $1,148.15 | $4,168.69 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $5,128.61 | Professional | None (both parts) | $123.03 | $158.49 | $5,128.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $91.20 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $61.66 | $79.43 |
BCBS Texas Setting Facility Modifier None Typical Low $7,079.46 Median $16,982.44 Typical High $30,902.95 | Facility | None | $7,079.46 | $16,982.44 | $30,902.95 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $104.71 | $120.23 | $190.55 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $20,417.38 | Facility | None | $891.25 | $1,318.26 | $20,417.38 |
Cigna 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 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $138.04 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $91.20 | $134.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None (both parts) | $12,882.50 | $12,882.50 | $12,882.50 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | 26 · Professional part | $758.58 | $758.58 | $977.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | TC · Technical part | $12,589.25 | $12,589.25 | $12,589.25 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $3,548.13 Typical High $8,709.64 | Facility | None | $239.88 | $3,548.13 | $8,709.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $123.03 | $154.88 | $275.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $91.20 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $61.66 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $97.72 | $109.65 | $128.82 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $2,041.74 Typical High $251,188.64 | Facility | None | $245.47 | $2,041.74 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $190.55 | $229.09 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $138.04 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $91.20 | $131.83 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $17,782.79 | Facility | None | $616.60 | $2,041.74 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $158.49 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $128.82 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $89.13 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
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 $61.66 Median $77.62 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $30.90 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $77.62 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $77.62 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $30.90 | $38.02 |
Where Texas sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 3rd of 51
$1,318
OK $4,786HI $158
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.