How much rates vary
Facilitymedian $6,918 · 10th to 90th $708 to $28,840Professionalmedian $186 · 10th to 90th $102 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 $794.33 Median $3,890.45 Typical High $12,589.25 | Facility | None | $794.33 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $100.00 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $91.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $28.84 | $35.48 | $45.71 |
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 $100.00 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $100.00 | $120.23 | $208.93 |
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 $158.49 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $158.49 | $186.21 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $134.90 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $44.67 | $52.48 | $79.43 |
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 $707.95 Median $707.95 Typical High $954.99 | Professional | 26 · Professional part | $707.95 | $707.95 | $954.99 |
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 $173.78 Median $3,090.30 Typical High $8,317.64 | Facility | None | $173.78 | $3,090.30 | $8,317.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $100.00 | $125.89 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $91.20 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $28.84 | $35.48 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $97.72 | $109.65 | $125.89 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $2,041.74 Typical High $251,188.64 | Facility | None | $204.17 | $2,041.74 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $158.49 | $186.21 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $134.90 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $52.48 | $75.86 |
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 $125.89 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $125.89 | $177.83 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $128.82 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $50.12 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $50.12 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $50.12 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $19.95 | $25.12 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $50.12 | $63.10 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $19.95 | $25.12 | $30.90 |
Where Texas sits
The same service costs 8.3 times more in Louisiana 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· 2nd of 51
$977
LA $1,288HI $155
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.