How much rates vary
Facilitymedian $229 · 10th to 90th $112 to $631Professionalmedian $72 · 10th to 90th $11 to $724
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 $63.10 Median $77.62 Typical High $120.23 | Facility | None | $63.10 | $77.62 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $257.04 | Facility | TC · Technical part | $64.57 | $74.13 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $63.10 | $75.86 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $8.91 | $11.22 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $66.07 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $53.70 | $66.07 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $9.77 | $13.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $47.86 | $67.61 |
BCBS Texas Setting Facility Modifier None Typical Low $112.20 Median $288.40 Typical High $575.44 | Facility | None | $112.20 | $288.40 | $575.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $9.55 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $9.55 | $58.88 | $112.20 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $204.17 | Professional | None (both parts) | $70.79 | $85.11 | $204.17 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $288.40 Typical High $501.19 | Facility | None | $112.20 | $288.40 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $64.57 | $87.10 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $12.59 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $74.13 | $138.04 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $104.71 | $107.15 | $107.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $724.44 | $794.33 | $794.33 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $630.96 | $724.44 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $630.96 Typical High $1,000.00 | Facility | None | $91.20 | $630.96 | $1,000.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $131.83 Typical High $407.38 | Facility | TC · Technical part | $64.57 | $131.83 | $407.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $63.10 | $79.43 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $11.22 | $16.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $54.95 | $66.07 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $9.55 | $54.95 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $13.49 | $83.18 | $169.82 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $275.42 Typical High $537.03 | Facility | None | $93.33 | $275.42 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $64.57 | $87.10 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $9.55 | $12.30 | $19.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $74.13 | $128.82 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $67.61 | $93.33 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $12.88 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $79.43 | $141.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $11.75 | $11.75 | $11.75 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
10 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 $32.36 Median $42.66 Typical High $125.89 | Facility | 52 · Reduced service | $32.36 | $42.66 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $51.29 | Facility | 53 · Discontinued | $12.88 | $16.98 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $31.62 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $12.88 | $15.14 | $19.50 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $15.85 Typical High $20.89 | Professional | 52 · Reduced service | $13.80 | $15.85 | $20.89 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $46.77 Median $63.10 Typical High $85.11 | Professional | 59 · Distinct service | $46.77 | $63.10 | $85.11 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | Q6 · Substitute physician, paid per time | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | SA · Nurse practitioner | $54.95 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $38.02 Typical High $48.98 | Professional | 52 · Reduced service | $31.62 | $38.02 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $12.88 | $15.14 | $19.50 |
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· 49th of 51
$75.86
AK $209UT $63.10
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.