How much rates vary
Facilitymedian $490 · 10th to 90th $186 to $1,445Professionalmedian $166 · 10th to 90th $28 to $437
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 $147.91 Median $177.83 Typical High $263.03 | Facility | None | $147.91 | $177.83 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $44.67 | Facility | 26 · Professional part | $25.12 | $30.90 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $537.03 | Facility | TC · Technical part | $125.89 | $158.49 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $147.91 | $177.83 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $30.90 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $123.03 | $147.91 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $120.23 | $147.91 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $24.55 | $26.92 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $120.23 | $144.54 |
BCBS Texas Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $851.14 | Facility | None | $177.83 | $446.68 | $851.14 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $27.54 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $27.54 | $134.90 | $251.19 |
Baylor Scott & White Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $1,995.26 | Facility | None | $190.55 | $281.84 | $1,995.26 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $165.96 | $181.97 | $331.13 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $33.11 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,023.29 | Facility | None | $229.09 | $602.56 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $144.54 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $34.67 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $162.18 | $295.12 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $181.97 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,584.89 | $1,621.81 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,318.26 | $1,412.54 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $1,047.13 Typical High $2,398.83 | Facility | None | $223.87 | $1,047.13 | $2,398.83 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $47.86 | Facility | 26 · Professional part | $25.12 | $32.36 | $47.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $602.56 Typical High $912.01 | Facility | TC · Technical part | $144.54 | $602.56 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $147.91 | $186.21 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $32.36 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $147.91 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $26.30 | $134.90 | $204.17 |
Oscar Health Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $1,698.24 | Facility | None | $645.65 | $1,698.24 | $1,698.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $37.15 | $186.21 | $363.08 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $549.54 Typical High $1,096.48 | Facility | None | $204.17 | $549.54 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $144.54 | $194.98 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $34.67 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $162.18 | $281.84 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $151.36 | $208.93 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $35.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $173.78 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
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 $72.44 Median $100.00 Typical High $281.84 | Facility | 52 · Reduced service | $72.44 | $100.00 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $39.81 Typical High $114.82 | Facility | 53 · Discontinued | $29.51 | $39.81 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $34.67 | $42.66 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $123.03 Median $141.25 Typical High $186.21 | Professional | 59 · Distinct service | $123.03 | $141.25 | $186.21 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | Q6 · Substitute physician, paid per time | $147.91 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $87.10 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $34.67 | $42.66 |
Where Texas sits
The same service costs 3.5 times more in Minnesota 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
$170
MN $550UT $158
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.