How much rates vary
Facilitymedian $871 · 10th to 90th $251 to $8,710Professionalmedian $363 · 10th to 90th $162 to $4,467
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 $1,148.15 Median $4,168.69 Typical High $12,589.25 | Facility | None | $1,148.15 | $4,168.69 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $281.84 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $109.65 | $141.25 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $208.93 | $288.40 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $575.44 Typical High $1,584.89 | Facility | None | $251.19 | $575.44 | $1,584.89 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $158.49 | $213.80 | $331.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
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 $346.74 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $346.74 | $501.19 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $204.17 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $302.00 | $426.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $4,466.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,995.26 Median $2,089.30 Typical High $2,089.30 | Professional | 26 · Professional part | $1,995.26 | $2,089.30 | $2,089.30 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $4,168.69 | $4,168.69 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $2,570.40 Typical High $8,709.64 | Facility | None | $660.69 | $2,570.40 | $8,709.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $281.84 | $346.74 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $109.65 | $141.25 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $169.82 | $208.93 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $154.88 | $177.83 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $190.55 | $407.38 | $812.83 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $22,387.21 | Facility | None | $346.74 | $660.69 | $22,387.21 |
Providence Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $346.74 | $501.19 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $281.84 | Professional | 26 · Professional part | $141.25 | $204.17 | $281.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $204.17 | $295.12 | $398.11 |
United Setting Facility Modifier None Typical Low $181.97 Median $1,348.96 Typical High $16,595.87 | Facility | None | $181.97 | $1,348.96 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $371.54 | $489.78 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $186.21 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $186.21 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $229.09 | $295.12 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
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 $141.25 Median $173.78 Typical High $234.42 | Professional | 52 · Reduced service | $141.25 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $70.79 Typical High $93.33 | Professional | 53 · Discontinued | $56.23 | $70.79 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $173.78 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $173.78 | $218.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $70.79 Typical High $87.10 | Professional | 53 · Discontinued | $56.23 | $70.79 | $87.10 |
Where Texas sits
The same service costs 3.0 times more in Wisconsin than in North 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· 48th of 51
$372
WI $1,000NC $331
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.