How much rates vary
Facilitymedian $200 · 10th to 90th $89 to $437Professionalmedian $79 · 10th to 90th $12 to $575
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 $89.13 Median $107.15 Typical High $117.49 | Facility | None | $89.13 | $107.15 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $208.93 | Facility | TC · Technical part | $52.48 | $60.26 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $89.13 | $107.15 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $53.70 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $52.48 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | None (both parts) | $81.28 | $81.28 | $144.54 |
BCBS Texas Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $354.81 | Facility | None | $87.10 | $194.98 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $53.70 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $53.70 | $104.71 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $239.88 Typical High $501.19 | Facility | None | $109.65 | $239.88 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $91.20 | $125.89 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $63.10 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $147.91 | Professional | TC · Technical part | $45.71 | $61.66 | $147.91 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,071.52 | $1,096.48 | $1,096.48 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | 26 · Professional part | $371.54 | $371.54 | $501.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $707.95 | $724.44 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $1,047.13 | Facility | None | $107.15 | $169.82 | $1,047.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $89.13 | $107.15 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $53.70 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $52.48 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $10.47 | $58.88 | $97.72 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $234.42 Typical High $501.19 | Facility | None | $109.65 | $234.42 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $91.20 | $123.03 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $61.66 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $138.04 | Professional | TC · Technical part | $45.71 | $61.66 | $138.04 |
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 $97.72 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $97.72 | $138.04 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $63.10 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $67.61 | $147.91 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
6 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 $26.92 Median $53.70 Typical High $102.33 | Facility | 52 · Reduced service | $26.92 | $53.70 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $21.38 Typical High $41.69 | Facility | 53 · Discontinued | $10.72 | $21.38 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $44.67 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $17.78 | $21.38 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $44.67 | $53.70 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $17.78 | $21.38 | $27.54 |
Where Texas sits
The same service costs 4.6 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
$83.18
AK $316UT $69.18
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.