How much rates vary
Facilitymedian $7,079 · 10th to 90th $708 to $28,840Professionalmedian $257 · 10th to 90th $162 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 $724.44 Median $3,890.45 Typical High $10,964.78 | Facility | None | $724.44 | $3,890.45 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $141.25 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $125.89 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $40.74 | $50.12 | $64.57 |
BCBS Texas Setting Facility Modifier None Typical Low $7,244.36 Median $16,982.44 Typical High $30,902.95 | Facility | None | $7,244.36 | $16,982.44 | $30,902.95 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $138.04 | $151.36 | $275.42 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
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 $223.87 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $223.87 | $257.04 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $158.49 | $186.21 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $72.44 | $112.20 |
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 $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | 26 · Professional part | $1,023.29 | $1,023.29 | $1,348.96 |
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 $223.87 Median $2,818.38 Typical High $7,943.28 | Facility | None | $223.87 | $2,818.38 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $141.25 | $177.83 | $234.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $100.00 | $125.89 | $218.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $50.12 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $158.49 | $177.83 | $213.80 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $2,041.74 Typical High $251,188.64 | Facility | None | $269.15 | $2,041.74 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $218.78 | $257.04 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $158.49 | $186.21 | $288.40 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $72.44 | $107.15 |
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 $177.83 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $177.83 | $251.19 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $177.83 Typical High $263.03 | Professional | 26 · Professional part | $128.82 | $177.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $72.44 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
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 $70.79 Median $89.13 Typical High $109.65 | Professional | 52 · Reduced service | $70.79 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $28.18 | $35.48 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $89.13 Typical High $109.65 | Professional | 52 · Reduced service | $70.79 | $89.13 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $28.18 | $35.48 | $43.65 |
Where Texas sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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
$1,096
LA $1,288AL $224
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.