How much rates vary
Facilitymedian $631 · 10th to 90th $151 to $9,120Professionalmedian $251 · 10th to 90th $78 to $13,490
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 $1,122.02 Median $4,168.69 Typical High $12,589.25 | Facility | None | $1,122.02 | $4,168.69 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $3,715.35 | Professional | None (both parts) | $79.43 | $100.00 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $75.86 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $39.81 | Professional | TC · Technical part | $19.95 | $24.55 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $77.62 | $109.65 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $380.19 Typical High $1,023.29 | Facility | None | $165.96 | $380.19 | $1,023.29 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $74.13 Median $134.90 Typical High $436.52 | Professional | None (both parts) | $74.13 | $134.90 | $436.52 |
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 $17,782.79 Median $19,498.45 Typical High $22,387.21 | Facility | None | $17,782.79 | $19,498.45 | $22,387.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $112.20 | $134.90 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $102.33 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $27.54 | $34.67 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $13,489.63 Typical High $13,489.63 | Professional | None (both parts) | $12,022.64 | $13,489.63 | $13,489.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | 26 · Professional part | $6,165.95 | $6,165.95 | $6,165.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,022.64 Median $12,022.64 Typical High $12,882.50 | Professional | TC · Technical part | $12,022.64 | $12,022.64 | $12,882.50 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $3,630.78 Typical High $8,709.64 | Facility | None | $363.08 | $3,630.78 | $8,709.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $79.43 | $100.00 | $199.53 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $77.62 | $131.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $24.55 | $37.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $64.57 | $72.44 | $91.20 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $1,096.48 Typical High $21,877.62 | Facility | None | $100.00 | $1,096.48 | $21,877.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $109.65 | $134.90 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $97.72 | $190.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $26.30 | $32.36 | $64.57 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $17,782.79 | Facility | None | $141.25 | $741.31 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $331.13 Typical High $3,090.30 | Professional | None (both parts) | $131.83 | $331.13 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $134.90 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $208.93 Typical High $2,884.03 | Professional | TC · Technical part | $32.36 | $208.93 | $2,884.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
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 $39.81 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $39.81 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $24.55 | Professional | 53 · Discontinued | $15.85 | $19.95 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $39.81 | $48.98 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $24.55 | Professional | 53 · Discontinued | $15.85 | $19.95 | $24.55 |
Where Texas sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 10th of 51
$407
TN $2,344SC $126
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.