How much rates vary
Facilitymedian $389 · 10th to 90th $126 to $724Professionalmedian $83 · 10th to 90th $16 to $589
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 $48.98 Median $58.88 Typical High $66.07 | Facility | None | $48.98 | $58.88 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $48.98 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $16.22 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $35.48 | $42.66 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $741.31 | Facility | None | $165.96 | $398.11 | $741.31 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.20 Median $70.79 Typical High $144.54 | Professional | None (both parts) | $18.20 | $70.79 | $144.54 |
Christus 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 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $64.57 Typical High $346.74 | Facility | None | $32.36 | $64.57 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $67.61 | $89.13 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $21.38 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $48.98 | $66.07 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $588.84 | $588.84 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $234.42 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $478.63 | $478.63 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $114.82 | Facility | None | $52.48 | $74.13 | $114.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $81.28 | Professional | None (both parts) | $48.98 | $58.88 | $81.28 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $16.22 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $35.48 | $42.66 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $14.45 | $81.28 | $104.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $25.70 | $114.82 | $229.09 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $269.15 | Facility | None | $45.71 | $74.13 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $67.61 | $89.13 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $21.38 | $29.51 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $50.12 | $67.61 | $83.18 |
United Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $269.15 | Facility | None | $194.98 | $204.17 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $51.29 | $66.07 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $19.50 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $45.71 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
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 $24.55 Median $29.51 Typical High $42.66 | Professional | 52 · Reduced service | $24.55 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.75 Typical High $16.98 | Professional | 53 · Discontinued | $9.77 | $11.75 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $29.51 Typical High $38.02 | Professional | 52 · Reduced service | $24.55 | $29.51 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.75 Typical High $15.14 | Professional | 53 · Discontinued | $9.77 | $11.75 | $15.14 |
Where Texas sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 29th of 51
$83.18
ND $186KY $53.70
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.