How much rates vary
Facilitymedian $204 · 10th to 90th $52 to $575Professionalmedian $32 · 10th to 90th $6 to $71
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 $30.90 Median $38.02 Typical High $64.57 | Facility | None | $30.90 | $38.02 | $64.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $15.49 | Facility | 26 · Professional part | $8.32 | $10.00 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $48.98 | Facility | TC · Technical part | $22.91 | $27.54 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $30.20 | $36.31 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $9.55 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $26.30 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $48.98 | Professional | None (both parts) | $35.48 | $41.69 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $10.72 | Professional | 26 · Professional part | $7.94 | $10.23 | $10.72 |
BCBS Texas Setting Facility Modifier None Typical Low $52.48 Median $131.83 Typical High $251.19 | Facility | None | $52.48 | $131.83 | $251.19 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $8.13 Median $28.18 Typical High $53.70 | Professional | None (both parts) | $8.13 | $28.18 | $53.70 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $39.81 | $45.71 | $69.18 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $10.23 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $107.15 Typical High $512.86 | Facility | None | $44.67 | $107.15 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $33.11 | $50.12 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $12.02 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $35.48 | $63.10 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $38.02 | $46.77 | $91.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $269.15 | $269.15 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $501.19 Typical High $977.24 | Facility | None | $64.57 | $501.19 | $977.24 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $15.49 | Facility | 26 · Professional part | $9.12 | $10.00 | $15.49 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $63.10 Typical High $912.01 | Facility | TC · Technical part | $26.30 | $63.10 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $30.20 | $36.31 | $66.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $9.55 | $15.85 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $26.30 | $50.12 |
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 $416.87 Median $676.08 Typical High $676.08 | Facility | None | $416.87 | $676.08 | $676.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $11.75 | $44.67 | $87.10 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $316.23 | Facility | None | $35.48 | $51.29 | $316.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $30.90 | $46.77 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $11.75 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $61.66 | Professional | TC · Technical part | $22.91 | $33.11 | $61.66 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $776.25 | Facility | None | $562.34 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $89.13 | Professional | None (both parts) | $45.71 | $60.26 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $13.18 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $35.48 | $46.77 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $10.23 | $10.23 | $10.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
7 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 $15.14 Median $17.78 Typical High $28.84 | Professional | 52 · Reduced service | $15.14 | $17.78 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $11.48 | Professional | 53 · Discontinued | $6.03 | $7.08 | $11.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $35.48 Median $41.69 Typical High $44.67 | Professional | 59 · Distinct service | $35.48 | $41.69 | $44.67 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | XU · Unusual separate service | $41.69 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $17.78 Typical High $22.91 | Professional | 52 · Reduced service | $15.14 | $17.78 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $6.03 | $7.08 | $9.12 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $38.02 Median $79.43 Typical High $102.33 | Professional | 59 · Distinct service | $38.02 | $79.43 | $102.33 |
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· 50th of 51
$33.11
MN $105UT $31.62
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.