How much rates vary
Facilitymedian $204 · 10th to 90th $126 to $550Professionalmedian $105 · 10th to 90th $17 to $324
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 $102.33 Median $120.23 Typical High $134.90 | Facility | None | $102.33 | $120.23 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $389.05 | Facility | TC · Technical part | $100.00 | $114.82 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $102.33 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $21.38 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $100.00 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $95.50 | $109.65 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $17.78 | $21.88 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $588.84 | Facility | None | $123.03 | $309.03 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.62 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $18.62 | $95.50 | $181.97 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $398.11 Typical High $512.86 | Facility | None | $162.18 | $398.11 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $114.82 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $18.62 | $23.99 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $131.83 | $229.09 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,122.02 | $1,230.27 | $1,230.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $933.25 | $1,148.15 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $426.58 Typical High $831.76 | Facility | None | $123.03 | $426.58 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $102.33 | $120.23 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $15.85 | $21.38 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $100.00 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $77.62 Typical High $107.15 | Professional | None (both parts) | $14.45 | $77.62 | $107.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $141.25 | $141.25 | $151.36 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $436.52 Typical High $676.08 | Facility | None | $123.03 | $436.52 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $114.82 | $154.88 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $18.62 | $23.99 | $33.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $131.83 | $213.80 |
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 $120.23 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $120.23 | $165.96 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $12.59 | $22.91 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $138.04 | $239.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
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 $50.12 Median $67.61 Typical High $194.98 | Facility | 52 · Reduced service | $50.12 | $67.61 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $27.54 Typical High $77.62 | Facility | 53 · Discontinued | $19.95 | $27.54 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $51.29 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $20.42 | $23.99 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $51.29 | $60.26 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $20.42 | $23.99 | $30.90 |
Where Texas sits
The same service costs 3.7 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
$107
AK $363UT $97.72
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.