How much rates vary
Facilitymedian $437 · 10th to 90th $200 to $794Professionalmedian $145 · 10th to 90th $21 to $1,445
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 $123.03 Median $147.91 Typical High $165.96 | Facility | None | $123.03 | $147.91 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $489.78 | Facility | TC · Technical part | $123.03 | $141.25 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $123.03 | $147.91 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $21.88 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $123.03 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $109.65 | $125.89 | $134.90 |
BCBS Texas Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $776.25 | Facility | None | $190.55 | $446.68 | $776.25 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $19.05 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $19.05 | $114.82 | $218.78 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $24.55 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $501.19 Typical High $1,202.26 | Facility | None | $218.78 | $501.19 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $125.89 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $25.12 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $144.54 | $263.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $204.17 | $213.80 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,445.44 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,230.27 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $1,122.02 | Facility | None | $147.91 | $213.80 | $1,122.02 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $123.03 | $147.91 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $21.88 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $123.03 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $19.50 | $109.65 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $27.54 | $165.96 | $331.13 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $489.78 Typical High $1,202.26 | Facility | None | $162.18 | $489.78 | $1,202.26 |
Providence 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 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $24.55 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $144.54 | $251.19 |
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 $131.83 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $131.83 | $177.83 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $25.12 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $151.36 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
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 $61.66 Median $83.18 Typical High $245.47 | Facility | 52 · Reduced service | $61.66 | $83.18 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $33.11 Typical High $97.72 | Facility | 53 · Discontinued | $25.12 | $33.11 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $72.44 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $24.55 | $29.51 | $37.15 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 59 · Distinct service | $125.89 | $125.89 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $72.44 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $72.44 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $24.55 | $29.51 | $37.15 |
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
$148
AK $417UT $126
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.