How much rates vary
Facilitymedian $692 · 10th to 90th $257 to $1,096Professionalmedian $209 · 10th to 90th $33 to $550
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 $194.98 Median $234.42 Typical High $263.03 | Facility | None | $194.98 | $234.42 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $776.25 | Facility | TC · Technical part | $199.53 | $229.09 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $194.98 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $34.67 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $199.53 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $239.88 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
BCBS Texas Setting Facility Modifier None Typical Low $302.00 Median $691.83 Typical High $1,148.15 | Facility | None | $302.00 | $691.83 | $1,148.15 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.90 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $30.90 | $173.78 | $338.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $741.31 Typical High $1,096.48 | Facility | None | $229.09 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $194.98 | $263.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $39.81 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $223.87 | $354.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,621.81 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $234.42 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,380.38 | $1,862.09 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $707.95 | Facility | None | $234.42 | $331.13 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $194.98 | $234.42 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $34.67 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $199.53 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $30.20 | $165.96 | $269.15 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $1,148.15 | Facility | None | $239.88 | $776.25 | $1,148.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $194.98 | $263.03 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $38.90 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $162.18 | $223.87 | $346.74 |
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 $204.17 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $204.17 | $269.15 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $39.81 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $173.78 | $234.42 | $354.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
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 $100.00 Median $131.83 Typical High $389.05 | Facility | 52 · Reduced service | $100.00 | $131.83 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $154.88 | Facility | 53 · Discontinued | $39.81 | $52.48 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $97.72 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $38.90 | $46.77 | $57.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $97.72 | $117.49 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $38.90 | $46.77 | $56.23 |
Where Texas sits
The same service costs 3.1 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
$214
AK $631UT $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.