How much rates vary
Facilitymedian $105 · 10th to 90th $44 to $263Professionalmedian $219 · 10th to 90th $27 to $479
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 $218.78 Median $257.04 Typical High $288.40 | Facility | None | $218.78 | $257.04 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $338.84 | Professional | None (both parts) | $218.78 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $223.87 Typical High $281.84 | Professional | 26 · Professional part | $181.97 | $223.87 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $36.31 | $42.66 | $54.95 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $102.33 Typical High $181.97 | Facility | None | $43.65 | $102.33 | $181.97 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $213.80 | $288.40 | $467.74 |
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 $37.15 Median $169.82 Typical High $537.03 | Facility | None | $37.15 | $169.82 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $218.78 | $331.13 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $275.42 Typical High $389.05 | Professional | 26 · Professional part | $181.97 | $275.42 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $52.48 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $2,290.87 | $3,548.13 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | 26 · Professional part | $1,513.56 | $1,513.56 | $1,905.46 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,137.96 Typical High $2,137.96 | Professional | TC · Technical part | $1,380.38 | $2,137.96 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $660.69 | Facility | None | $257.04 | $309.03 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $338.84 | Professional | None (both parts) | $218.78 | $263.03 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $223.87 Typical High $281.84 | Professional | 26 · Professional part | $181.97 | $223.87 | $281.84 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $36.31 | $42.66 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $51.29 Typical High $263.03 | Professional | None (both parts) | $25.12 | $51.29 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $51.29 | $288.40 | $562.34 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $288.40 Typical High $489.78 | Facility | None | $37.15 | $288.40 | $489.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $218.78 | $331.13 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $275.42 Typical High $371.54 | Professional | 26 · Professional part | $181.97 | $275.42 | $371.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $36.31 | $52.48 | $64.57 |
United Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $645.65 | Facility | None | $467.74 | $478.63 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $218.78 | $295.12 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $190.55 | $245.47 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $107.15 | Professional | TC · Technical part | $25.70 | $37.15 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
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 $109.65 Median $131.83 Typical High $169.82 | Professional | 52 · Reduced service | $109.65 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $43.65 | $52.48 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | 52 · Reduced service | $109.65 | $131.83 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $43.65 | $52.48 | $67.61 |
Where Texas sits
The same service costs 3.3 times more in Minnesota 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· 49th of 51
$219
MN $661UT $200
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.