How much rates vary
Facilitymedian $407 · 10th to 90th $35 to $1,202Professionalmedian $32 · 10th to 90th $6 to $74
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 $29.51 Median $34.67 Typical High $38.90 | Facility | None | $29.51 | $34.67 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $29.51 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $13.49 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $21.88 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $40.74 | Professional | None (both parts) | $30.90 | $37.15 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $10.96 | $12.88 | $12.88 |
BCBS Texas Setting Facility Modifier None Typical Low $288.40 Median $741.31 Typical High $1,348.96 | Facility | None | $288.40 | $741.31 | $1,348.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $11.48 Median $28.18 Typical High $53.70 | Professional | None (both parts) | $11.48 | $28.18 | $53.70 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $40.74 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $40.74 | $41.69 | $52.48 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $14.13 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $64.57 Typical High $363.08 | Facility | None | $23.44 | $64.57 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $33.11 | $42.66 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $15.85 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $26.30 | $35.48 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $45.71 Median $46.77 Typical High $61.66 | Professional | None (both parts) | $45.71 | $46.77 | $61.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | None (both parts) | $346.74 | $346.74 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $89.13 | $120.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $199.53 | $199.53 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $316.23 Typical High $416.87 | Facility | None | $39.81 | $316.23 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $29.51 | $35.48 | $53.70 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $13.49 | $19.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $21.88 | $33.88 |
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 Professional Modifier None (both parts) Typical Low $16.22 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $16.22 | $43.65 | $85.11 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $269.15 | Facility | None | $24.55 | $48.98 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $30.90 | $42.66 | $60.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.49 | $22.39 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $26.30 | $35.48 |
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 $29.51 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $29.51 | $38.90 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $14.79 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $24.55 | $36.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $27.54 | $27.54 | $27.54 |
5 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 $14.79 Median $17.38 Typical High $22.39 | Professional | 52 · Reduced service | $14.79 | $17.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.92 Typical High $9.12 | Professional | 53 · Discontinued | $5.89 | $6.92 | $9.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $34.67 Median $40.74 Typical High $46.77 | Professional | 59 · Distinct service | $34.67 | $40.74 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $17.38 Typical High $22.39 | Professional | 52 · Reduced service | $14.79 | $17.38 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.92 Typical High $9.12 | Professional | 53 · Discontinued | $5.89 | $6.92 | $9.12 |
Where Texas sits
The same service costs 2.7 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· 49th of 51
$32.36
MN $83.18UT $30.90
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.