How much rates vary
Facilitymedian $141 · 10th to 90th $50 to $525Professionalmedian $39 · 10th to 90th $6 to $81
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 $47.86 Median $56.23 Typical High $63.10 | Facility | None | $47.86 | $56.23 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $47.86 | $56.23 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $25.12 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $26.30 | $30.90 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $50.12 | $57.54 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.30 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $97.72 Typical High $263.03 | Facility | None | $43.65 | $97.72 | $263.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $24.55 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $24.55 | $54.95 | $89.13 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $102.33 | Professional | None (both parts) | $67.61 | $72.44 | $102.33 |
Christus Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $199.53 Typical High $512.86 | Facility | None | $32.36 | $199.53 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $52.48 | $69.18 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $30.90 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $38.02 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $891.25 Typical High $1,348.96 | Facility | None | $63.10 | $891.25 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $47.86 | $56.23 | $87.10 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $25.12 | $37.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $26.30 | $30.90 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $29.51 Typical High $66.07 | Professional | None (both parts) | $5.37 | $29.51 | $66.07 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $72.44 Typical High $144.54 | Professional | None (both parts) | $32.36 | $72.44 | $144.54 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $81.28 Typical High $363.08 | Facility | None | $32.36 | $81.28 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $50.12 | $69.18 | $97.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $30.20 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $38.02 | $50.12 |
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 $91.20 | Professional | None (both parts) | $45.71 | $60.26 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $31.62 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
4 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 $23.44 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $23.44 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $9.55 | $11.22 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $23.44 | $28.18 | $36.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $9.55 | $11.22 | $14.45 |
Where Texas sits
The same service costs 3.6 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
$38.90
MN $141TX $38.90
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.