How much rates vary
Facilitymedian $550 · 10th to 90th $245 to $1,175Professionalmedian $219 · 10th to 90th $36 to $708
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 $208.93 Median $251.19 Typical High $371.54 | Facility | None | $208.93 | $251.19 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $74.13 | Facility | 26 · Professional part | $41.69 | $50.12 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $776.25 | Facility | TC · Technical part | $173.78 | $218.78 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $208.93 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $51.29 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $165.96 | $194.98 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $173.78 | $208.93 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $41.69 | $125.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $138.04 | $165.96 | $194.98 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $602.56 Typical High $1,174.90 | Facility | None | $245.47 | $602.56 | $1,174.90 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $46.77 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $46.77 | $190.55 | $354.81 |
Baylor Scott & White Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $1,096.48 | Facility | None | $269.15 | $398.11 | $1,096.48 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $245.47 | $257.04 | $371.54 |
Christus Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $741.31 Typical High $1,096.48 | Facility | None | $269.15 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $204.17 | $281.84 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $58.88 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $223.87 | $407.38 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $234.42 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,238.72 | $2,454.71 | $2,454.71 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $478.63 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Professional | TC · Technical part | $1,819.70 | $1,905.46 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $794.33 Typical High $1,659.59 | Facility | None | $263.03 | $794.33 | $1,659.59 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $812.83 | Facility | TC · Technical part | $194.98 | $331.13 | $812.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $208.93 | $251.19 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $52.48 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $165.96 | $194.98 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $30.90 | $165.96 | $269.15 |
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 $60.26 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $60.26 | $263.03 | $512.86 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $741.31 Typical High $1,148.15 | Facility | None | $245.47 | $741.31 | $1,148.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $204.17 | $281.84 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $57.54 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $223.87 | $380.19 |
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 $218.78 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $218.78 | $309.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $67.61 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $245.47 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
9 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 $100.00 Median $141.25 Typical High $389.05 | Facility | 52 · Reduced service | $100.00 | $141.25 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $154.88 | Facility | 53 · Discontinued | $39.81 | $56.23 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | 52 · Reduced service | $104.71 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $41.69 | $48.98 | $58.88 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 25 · Same-day visit | $229.09 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 51 · Multiple procedures | $199.53 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $173.78 Typical High $208.93 | Professional | 59 · Distinct service | $169.82 | $173.78 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $123.03 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $41.69 | $48.98 | $60.26 |
Where Texas sits
The same service costs 3.3 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
$224
MN $676UT $204
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.