How much rates vary
Facilitymedian $513 · 10th to 90th $186 to $1,096Professionalmedian $229 · 10th to 90th $36 to $1,950
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 $213.80 Median $251.19 Typical High $407.38 | Facility | None | $213.80 | $251.19 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $812.83 | Facility | TC · Technical part | $208.93 | $251.19 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $213.80 | $251.19 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $41.69 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $177.83 | $208.93 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $181.97 | $213.80 | $229.09 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $645.65 Typical High $1,202.26 | Facility | None | $251.19 | $645.65 | $1,202.26 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $36.31 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $36.31 | $186.21 | $354.81 |
Christus Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $758.58 Typical High $1,096.48 | Facility | None | $269.15 | $758.58 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $199.53 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $239.88 | $398.11 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $190.55 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,344.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $489.78 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $1,047.13 Typical High $1,122.02 | Facility | None | $257.04 | $1,047.13 | $1,122.02 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $213.80 | $251.19 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $42.66 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $177.83 | $208.93 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $33.88 | $190.55 | $275.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $51.29 | $269.15 | $537.03 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $758.58 Typical High $1,230.27 | Facility | None | $257.04 | $758.58 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $199.53 | $288.40 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $239.88 | $371.54 |
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 $213.80 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $213.80 | $295.12 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $48.98 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $251.19 | $380.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
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 $104.71 Median $141.25 Typical High $407.38 | Facility | 52 · Reduced service | $104.71 | $141.25 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $56.23 Typical High $162.18 | Facility | 53 · Discontinued | $42.66 | $56.23 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $50.12 | $60.26 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 59 · Distinct service | $204.17 | $204.17 | $213.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $125.89 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $50.12 | $60.26 |
Where Texas sits
The same service costs 3.0 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· 50th of 51
$229
AK $646UT $214
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.