How much rates vary
Facilitymedian $347 · 10th to 90th $138 to $603Professionalmedian $123 · 10th to 90th $18 to $1,230
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 $102.33 Median $123.03 Typical High $204.17 | Facility | None | $102.33 | $123.03 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $389.05 | Facility | TC · Technical part | $100.00 | $120.23 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $102.33 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $22.91 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $100.00 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Texas Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $602.56 | Facility | None | $147.91 | $338.84 | $602.56 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $32.36 Median $102.33 Typical High $234.42 | Professional | None (both parts) | $32.36 | $102.33 | $234.42 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $426.58 Typical High $524.81 | Facility | None | $165.96 | $426.58 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $125.89 | $169.82 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $30.90 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $141.25 | $251.19 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $89.13 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $89.13 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,230.27 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $302.00 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $933.25 | $1,122.02 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $269.15 | Facility | None | $123.03 | $154.88 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $102.33 | $123.03 | $158.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $19.05 | $22.91 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $100.00 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $79.43 Typical High $165.96 | Professional | None (both parts) | $14.79 | $79.43 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $40.74 | $173.78 | $338.84 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $467.74 Typical High $741.31 | Facility | None | $134.90 | $467.74 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $125.89 | $169.82 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $29.51 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $141.25 | $234.42 |
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 $123.03 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $123.03 | $173.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $28.18 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $144.54 | $239.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
6 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 $50.12 Median $69.18 Typical High $194.98 | Facility | 52 · Reduced service | $50.12 | $69.18 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $27.54 Typical High $77.62 | Facility | 53 · Discontinued | $19.95 | $27.54 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $51.29 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $20.42 | $24.55 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $51.29 | $61.66 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $24.55 | $29.51 |
Where Texas sits
The same service costs 3.5 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· 49th of 51
$126
AK $407UT $117
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.