How much rates vary
Facilitymedian $257 · 10th to 90th $93 to $537Professionalmedian $117 · 10th to 90th $19 to $1,072
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 $97.72 Median $117.49 Typical High $131.83 | Facility | None | $97.72 | $117.49 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $371.54 | Facility | TC · Technical part | $95.50 | $107.15 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $97.72 | $117.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $21.88 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $95.50 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $95.50 | $100.00 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $28.18 | $38.02 |
BCBS Texas Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $575.44 | Facility | None | $144.54 | $323.59 | $575.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.38 Median $87.10 Typical High $204.17 | Professional | None (both parts) | $21.38 | $87.10 | $204.17 |
Christus Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $371.54 Typical High $501.19 | Facility | None | $151.36 | $371.54 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $95.50 | $131.83 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $18.62 | $24.55 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $107.15 | $204.17 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $870.96 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $169.82 Typical High $933.25 | Facility | None | $117.49 | $169.82 | $933.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $97.72 | $117.49 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $21.88 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $95.50 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $14.79 | $81.28 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $27.54 | $125.89 | $245.47 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $371.54 Typical High $549.54 | Facility | None | $125.89 | $371.54 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $95.50 | $131.83 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $24.55 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $77.62 | $107.15 | $194.98 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $100.00 | $138.04 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $18.62 | $25.12 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $114.82 | $199.53 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
7 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 $47.86 Median $66.07 Typical High $186.21 | Facility | 52 · Reduced service | $47.86 | $66.07 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $74.13 | Facility | 53 · Discontinued | $19.05 | $26.30 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $23.44 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $83.18 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $58.88 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $23.44 | $29.51 |
Where Texas sits
The same service costs 3.3 times more in Alaska 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· 48th of 51
$117
AK $316UT $95.50
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.