How much rates vary
Facilitymedian $257 · 10th to 90th $26 to $631Professionalmedian $27 · 10th to 90th $6 to $45
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 $20.42 Median $24.55 Typical High $44.67 | Facility | None | $20.42 | $24.55 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $24.55 Typical High $38.90 | Professional | None (both parts) | $20.42 | $24.55 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $11.22 | Professional | 26 · Professional part | $6.17 | $7.59 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.98 Typical High $29.51 | Professional | TC · Technical part | $14.45 | $16.98 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $33.88 | Professional | None (both parts) | $23.99 | $28.18 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.76 Typical High $9.55 | Professional | 26 · Professional part | $7.41 | $7.76 | $9.55 |
BCBS Texas Setting Facility Modifier None Typical Low $147.91 Median $380.19 Typical High $724.44 | Facility | None | $147.91 | $380.19 | $724.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.46 Median $19.95 Typical High $38.02 | Professional | None (both parts) | $6.46 | $19.95 | $38.02 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $28.84 Median $29.51 Typical High $32.36 | Professional | None (both parts) | $28.84 | $29.51 | $32.36 |
Christus Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $8.32 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $64.57 Typical High $346.74 | Facility | None | $26.30 | $64.57 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $23.44 | $33.11 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $13.18 | Professional | 26 · Professional part | $6.76 | $9.12 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $22.91 | $37.15 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $144.54 | Professional | None (both parts) | $26.92 | $33.11 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $144.54 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $138.04 | $186.21 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $323.59 Typical High $575.44 | Facility | None | $44.67 | $323.59 | $575.44 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $398.11 Typical High $616.60 | Facility | TC · Technical part | $16.98 | $398.11 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $24.55 Typical High $42.66 | Professional | None (both parts) | $20.42 | $24.55 | $42.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $11.22 | Professional | 26 · Professional part | $6.17 | $7.59 | $11.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.98 Typical High $28.84 | Professional | TC · Technical part | $14.45 | $16.98 | $28.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.79 Median $26.92 Typical High $35.48 | Professional | None (both parts) | $4.79 | $26.92 | $35.48 |
Oscar Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Facility | None | $223.87 | $223.87 | $269.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.55 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $9.55 | $30.90 | $60.26 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $34.67 Typical High $181.97 | Facility | None | $24.55 | $34.67 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $51.29 | Professional | None (both parts) | $21.38 | $31.62 | $51.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $12.59 | Professional | 26 · Professional part | $6.31 | $8.91 | $12.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $15.14 | $22.39 | $36.31 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $26.92 | $35.48 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $6.46 | $8.32 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $27.54 | $40.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $21.38 | $21.38 | $21.38 |
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 Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.30 Typical High $17.78 | Professional | 52 · Reduced service | $10.23 | $12.30 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.90 Typical High $7.08 | Professional | 53 · Discontinued | $4.07 | $4.90 | $7.08 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.99 Median $28.18 Typical High $30.20 | Professional | 59 · Distinct service | $23.99 | $28.18 | $30.20 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $25.70 Median $26.92 Typical High $28.18 | Professional | Q6 · Substitute physician, paid per time | $25.70 | $26.92 | $28.18 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | XS · Separate structure | $28.18 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | XU · Unusual separate service | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.30 Typical High $15.85 | Professional | 52 · Reduced service | $10.23 | $12.30 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.90 Typical High $6.31 | Professional | 53 · Discontinued | $4.07 | $4.90 | $6.31 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $42.66 Typical High $50.12 | Professional | 59 · Distinct service | $21.38 | $42.66 | $50.12 |
Where Texas sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 51st of 51
$26.92
MN $67.61TX $26.92
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.