How much rates vary
Facilitymedian $309 · 10th to 90th $110 to $891Professionalmedian $107 · 10th to 90th $18 to $1,000
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 $93.33 Median $117.49 Typical High $165.96 | Facility | None | $93.33 | $117.49 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $29.51 | Facility | 26 · Professional part | $17.38 | $20.89 | $29.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $338.84 | Facility | TC · Technical part | $87.10 | $100.00 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $93.33 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $19.95 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $93.33 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $77.62 | $93.33 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $16.98 | $38.90 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $53.70 | $63.10 | $91.20 |
BCBS Setting Facility Modifier None Typical Low $109.65 Median $269.15 Typical High $524.81 | Facility | None | $109.65 | $269.15 | $524.81 |
BCBS Setting Professional Modifier None (both parts) Typical Low $17.78 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $17.78 | $85.11 | $162.18 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $89.13 | $112.20 | $190.55 |
Christus Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $501.19 | Facility | None | $131.83 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $93.33 | $125.89 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $16.60 | $22.39 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $104.71 | $190.55 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $114.82 | $151.36 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,071.52 |
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 $831.76 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $831.76 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $588.84 Typical High $1,202.26 | Facility | None | $112.20 | $588.84 | $1,202.26 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $30.20 | Facility | 26 · Professional part | $17.38 | $20.89 | $30.20 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $338.84 Typical High $630.96 | Facility | TC · Technical part | $91.20 | $338.84 | $630.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $93.33 | $112.20 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $20.89 | $34.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $77.62 | $93.33 | $141.25 |
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 |
Oscar Health Setting Facility Modifier None Typical Low $851.14 Median $2,454.71 Typical High $2,454.71 | Facility | None | $851.14 | $2,454.71 | $2,454.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $22.91 | $117.49 | $229.09 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $346.74 Typical High $537.03 | Facility | None | $112.20 | $346.74 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $93.33 | $125.89 | $223.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $21.88 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $104.71 | $177.83 |
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 $93.33 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $93.33 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $22.91 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $107.15 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
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 $46.77 Median $63.10 Typical High $177.83 | Facility | 52 · Reduced service | $46.77 | $63.10 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $25.12 Typical High $72.44 | Facility | 53 · Discontinued | $18.62 | $25.12 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $22.39 | $26.92 |
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 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | Q6 · Substitute physician, paid per time | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $54.95 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $22.39 | $26.92 |
Where Texas sits
The same service costs 4.0 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· 49th of 51
$110
MN $380UT $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.