How much rates vary
Facilitymedian $2,570 · 10th to 90th $977 to $8,318Professionalmedian $251 · 10th to 90th $43 to $437
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 $208.93 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $208.93 | $281.84 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $213.80 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $69.18 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
BCBS Texas Setting Facility Modifier None Typical Low $1,071.52 Median $2,951.21 Typical High $7,413.10 | Facility | None | $1,071.52 | $2,951.21 | $7,413.10 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $223.87 | $331.13 | $549.54 |
Christus Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 26 · Professional part | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $18,620.87 Typical High $21,877.62 | Facility | None | $245.47 | $18,620.87 | $21,877.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $263.03 | $389.05 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $398.11 | Professional | 26 · Professional part | $199.53 | $288.40 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $93.33 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $5,495.41 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | 26 · Professional part | $2,951.21 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | TC · Technical part | $5,128.61 | $5,128.61 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $3,019.95 Typical High $8,709.64 | Facility | None | $467.74 | $3,019.95 | $8,709.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $208.93 | $281.84 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $213.80 | $354.81 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $70.79 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $89.13 Typical High $323.59 | Professional | None (both parts) | $38.02 | $89.13 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $91.20 | $363.08 | $691.83 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $21,877.62 | Facility | None | $208.93 | $537.03 | $21,877.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $263.03 | $389.05 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $389.05 | Professional | 26 · Professional part | $199.53 | $288.40 | $389.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $93.33 | $186.21 |
United Setting Facility Modifier None Typical Low $794.33 Median $3,162.28 Typical High $16,595.87 | Facility | None | $794.33 | $3,162.28 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $263.03 | $380.19 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $263.03 Typical High $380.19 | Professional | 26 · Professional part | $199.53 | $263.03 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $63.10 | $100.00 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $104.71 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $104.71 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $42.66 | $53.70 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $104.71 | $134.90 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $69.18 | Professional | 53 · Discontinued | $42.66 | $53.70 | $69.18 |
Where Texas sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 50th of 51
$257
WI $813UT $240
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.