How much rates vary
Facilitymedian $776 · 10th to 90th $191 to $9,120Professionalmedian $269 · 10th to 90th $155 to $12,023
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 $141.25 Median $177.83 Typical High $2,398.83 | Professional | None (both parts) | $141.25 | $177.83 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $134.90 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $36.31 | $44.67 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $199.53 | Professional | 26 · Professional part | $138.04 | $162.18 | $199.53 |
BCBS Texas Setting Facility Modifier None Typical Low $239.88 Median $562.34 Typical High $1,513.56 | Facility | None | $239.88 | $562.34 | $1,513.56 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $151.36 | $281.84 | $478.63 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
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 $223.87 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $223.87 | $263.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $295.12 | Professional | 26 · Professional part | $169.82 | $199.53 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $66.07 | $104.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None (both parts) | $12,022.64 | $12,022.64 | $12,022.64 |
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 $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | TC · Technical part | $11,748.98 | $11,748.98 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $4,570.88 Typical High $8,709.64 | Facility | None | $691.83 | $4,570.88 | $8,709.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $141.25 | $177.83 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $138.04 | $239.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | TC · Technical part | $36.31 | $44.67 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $158.49 | $177.83 | $234.42 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $1,096.48 Typical High $21,877.62 | Facility | None | $181.97 | $1,096.48 | $21,877.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $223.87 | $263.03 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $295.12 | Professional | 26 · Professional part | $169.82 | $199.53 | $295.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $54.95 | $66.07 | $97.72 |
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 $190.55 Median $467.74 Typical High $3,090.30 | Professional | None (both parts) | $190.55 | $467.74 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $199.53 Typical High $316.23 | Professional | 26 · Professional part | $134.90 | $199.53 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $288.40 Typical High $2,818.38 | Professional | TC · Technical part | $47.86 | $288.40 | $2,818.38 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
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 4.6 times more in Wisconsin than in Maryland. 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
$479
WI $1,047MD $229
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.