How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,023 to $28,840Professionalmedian $380 · 10th to 90th $240 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 $190.55 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $190.55 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $147.91 | $186.21 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $53.70 | $69.18 |
BCBS Texas Setting Facility Modifier None Typical Low $5,888.44 Median $16,982.44 Typical High $37,153.52 | Facility | None | $5,888.44 | $16,982.44 | $37,153.52 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $204.17 | $223.87 | $380.19 |
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 $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 $316.23 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $316.23 | $363.08 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $245.47 | $281.84 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $79.43 | $125.89 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,344.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $12,302.69 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $3,548.13 Typical High $8,511.38 | Facility | None | $354.81 | $3,548.13 | $8,511.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $190.55 | $239.88 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $323.59 | Professional | 26 · Professional part | $147.91 | $190.55 | $323.59 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $53.70 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $77.62 | $186.21 | $281.84 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $2,511.89 Typical High $251,188.64 | Facility | None | $416.87 | $2,511.89 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $302.00 | $363.08 | $575.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $239.88 | $281.84 | $457.09 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $79.43 | $125.89 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $18,620.87 | Facility | None | $2,630.27 | $6,456.54 | $18,620.87 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $275.42 | $371.54 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $269.15 Typical High $416.87 | Professional | 26 · Professional part | $199.53 | $269.15 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $95.50 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
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 $95.50 Median $120.23 Typical High $151.36 | Professional | 52 · Reduced service | $95.50 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $60.26 | Professional | 53 · Discontinued | $38.02 | $47.86 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $120.23 Typical High $147.91 | Professional | 52 · Reduced service | $95.50 | $120.23 | $147.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $58.88 | Professional | 53 · Discontinued | $38.02 | $47.86 | $58.88 |
Where Texas sits
The same service costs 9.5 times more in Louisiana than in New York. 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· 4th of 51
$2,754
LA $3,090NY $324
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.