How much rates vary
Facilitymedian $288 · 10th to 90th $102 to $955Professionalmedian $115 · 10th to 90th $18 to $1,122
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 $194.98 | Facility | None | $102.33 | $123.03 | $194.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $33.11 | Facility | 26 · Professional part | $17.38 | $21.88 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $380.19 | Facility | TC · Technical part | $85.11 | $112.20 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $102.33 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $20.89 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $100.00 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $91.20 | $107.15 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $19.95 | $42.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $77.62 | $77.62 | $102.33 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $588.84 | Facility | None | $123.03 | $309.03 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.20 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $18.20 | $95.50 | $181.97 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $398.11 Typical High $501.19 | Facility | None | $158.49 | $398.11 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $112.20 | $151.36 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $23.99 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $128.82 | $239.88 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $112.20 | $181.97 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,122.02 | $1,258.93 | $1,258.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $933.25 | $1,148.15 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $954.99 Typical High $1,318.26 | Facility | None | $123.03 | $954.99 | $1,318.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $478.63 | Facility | TC · Technical part | $100.00 | $151.36 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $102.33 | $120.23 | $190.55 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $21.38 | $32.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $100.00 | $151.36 |
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 $25.70 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $25.70 | $141.25 | $281.84 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $426.58 Typical High $660.69 | Facility | None | $123.03 | $426.58 | $660.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $112.20 | $151.36 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $23.99 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $128.82 | $223.87 |
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 $117.49 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $117.49 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $18.62 | $24.55 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $141.25 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
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 |
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 $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 $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 $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $51.29 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $23.99 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 59 · Distinct service | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $51.29 | $60.26 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $23.99 | $29.51 |
Where Texas sits
The same service costs 3.7 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
$120
AK $355UT $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.