How much rates vary
Facilitymedian $245 · 10th to 90th $129 to $631Professionalmedian $112 · 10th to 90th $17 to $1,175
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 $100.00 Median $117.49 Typical High $190.55 | Facility | None | $100.00 | $117.49 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $389.05 | Facility | TC · Technical part | $97.72 | $112.20 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $100.00 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $19.95 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $100.00 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $75.86 | $102.33 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $14.79 | $17.78 | $25.70 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $74.13 | $85.11 | $91.20 |
BCBS Texas Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $602.56 | Facility | None | $125.89 | $309.03 | $602.56 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $16.98 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $16.98 | $93.33 | $177.83 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $128.82 | $141.25 | $190.55 |
Christus Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $22.39 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $426.58 Typical High $630.96 | Facility | None | $147.91 | $426.58 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $102.33 | $138.04 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $16.98 | $22.91 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $114.82 | $213.80 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $144.54 | $173.78 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,202.26 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,202.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $977.24 | $1,071.52 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $562.34 Typical High $1,348.96 | Facility | None | $131.83 | $562.34 | $1,348.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $489.78 | Facility | TC · Technical part | $97.72 | $162.18 | $489.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $100.00 | $120.23 | $199.53 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $20.42 | $30.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $100.00 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $14.79 | $83.18 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $25.12 | $134.90 | $269.15 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $407.38 Typical High $676.08 | Facility | None | $138.04 | $407.38 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $102.33 | $138.04 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $16.98 | $22.39 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $114.82 | $199.53 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $104.71 | $144.54 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $16.98 | $22.91 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $120.23 | $213.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
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 $50.12 Median $67.61 Typical High $194.98 | Facility | 52 · Reduced service | $50.12 | $67.61 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $26.92 Typical High $77.62 | Facility | 53 · Discontinued | $19.95 | $26.92 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $75.86 | Professional | 52 · Reduced service | $50.12 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $75.86 Median $104.71 Typical High $131.83 | Professional | 59 · Distinct service | $75.86 | $104.71 | $131.83 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | Q6 · Substitute physician, paid per time | $89.13 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $75.86 | Professional | 52 · Reduced service | $50.12 | $58.88 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $23.99 | $30.20 |
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
$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.