How much rates vary
Facilitymedian $427 · 10th to 90th $182 to $1,318Professionalmedian $166 · 10th to 90th $30 to $513
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 $151.36 Median $181.97 Typical High $263.03 | Facility | None | $151.36 | $181.97 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $47.86 | Facility | 26 · Professional part | $28.84 | $36.31 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $524.81 | Facility | TC · Technical part | $125.89 | $154.88 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $151.36 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $35.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $144.54 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $123.03 | $154.88 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $30.90 | $45.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $85.11 | $114.82 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $870.96 | Facility | None | $165.96 | $436.52 | $870.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.20 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $30.20 | $134.90 | $257.04 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $144.54 | $181.97 | $199.53 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,023.29 | Facility | None | $229.09 | $602.56 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $147.91 | $199.53 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $38.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $162.18 | $309.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $177.83 | $245.47 | $245.47 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,318.26 | $1,445.44 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $1,071.52 Typical High $1,819.70 | Facility | None | $213.80 | $1,071.52 | $1,819.70 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $51.29 | Facility | 26 · Professional part | $28.84 | $37.15 | $51.29 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $537.03 Typical High $831.76 | Facility | TC · Technical part | $144.54 | $537.03 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $151.36 | $186.21 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $35.48 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $144.54 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $26.30 | $134.90 | $204.17 |
Oscar Health Setting Facility Modifier None Typical Low $263.03 Median $524.81 Typical High $524.81 | Facility | None | $263.03 | $524.81 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $42.66 | $190.55 | $380.19 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $549.54 Typical High $1,096.48 | Facility | None | $204.17 | $549.54 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $147.91 | $199.53 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $38.90 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $162.18 | $288.40 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $158.49 | $213.80 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $38.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $173.78 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
8 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 Facility Modifier 52 · Reduced service Typical Low $72.44 Median $100.00 Typical High $281.84 | Facility | 52 · Reduced service | $72.44 | $100.00 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $40.74 Typical High $112.20 | Facility | 53 · Discontinued | $28.84 | $40.74 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $35.48 | $43.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | 59 · Distinct service | $123.03 | $144.54 | $181.97 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $831.76 Median $891.25 Typical High $1,096.48 | Facility | 59 · Distinct service | $831.76 | $891.25 | $1,096.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $89.13 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $35.48 | $43.65 |
Where Texas sits
The same service costs 3.2 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
$174
MN $501UT $158
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.