How much rates vary
Facilitymedian $257 · 10th to 90th $117 to $708Professionalmedian $110 · 10th to 90th $18 to $1,047
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 $97.72 Median $114.82 Typical High $181.97 | Facility | None | $97.72 | $114.82 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $371.54 | Facility | TC · Technical part | $81.28 | $107.15 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $97.72 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $17.78 | $21.38 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $93.33 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $81.28 | $97.72 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $17.78 | $18.20 | $24.55 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $64.57 | $79.43 | $79.43 |
BCBS Texas Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $549.54 | Facility | None | $117.49 | $288.40 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.62 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $18.62 | $89.13 | $181.97 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $363.08 Typical High $501.19 | Facility | None | $131.83 | $363.08 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $95.50 | $131.83 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $33.88 | Professional | 26 · Professional part | $18.20 | $23.99 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $107.15 | $208.93 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $107.15 | $154.88 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $954.99 Typical High $1,318.26 | Facility | None | $138.04 | $954.99 | $1,318.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $407.38 | Facility | TC · Technical part | $79.43 | $107.15 | $407.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $97.72 | $114.82 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $21.38 | $32.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $93.33 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $14.79 | $81.28 | $109.65 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $371.54 Typical High $549.54 | Facility | None | $114.82 | $371.54 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $95.50 | $131.83 | $234.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $23.99 | $33.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $77.62 | $107.15 | $194.98 |
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 $100.00 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $100.00 | $141.25 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $22.91 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $117.49 | $194.98 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
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 $47.86 Median $66.07 Typical High $186.21 | Facility | 52 · Reduced service | $47.86 | $66.07 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $74.13 | Facility | 53 · Discontinued | $19.05 | $26.30 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $22.91 | $27.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $93.33 Typical High $95.50 | Professional | 59 · Distinct service | $85.11 | $93.33 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $48.98 | $57.54 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $22.91 | $27.54 |
Where Texas sits
The same service costs 3.2 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
$115
AK $302UT $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.