How much rates vary
Facilitymedian $178 · 10th to 90th $69 to $331Professionalmedian $35 · 10th to 90th $6 to $155
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 $52.48 Median $63.10 Typical High $70.79 | Facility | None | $52.48 | $63.10 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $52.48 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $17.38 | $20.42 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $42.66 | $54.95 |
BCBS Texas Setting Facility Modifier None Typical Low $75.86 Median $190.55 Typical High $338.84 | Facility | None | $75.86 | $190.55 | $338.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $19.50 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $19.50 | $54.95 | $89.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $69.18 | Facility | None | $54.95 | $56.23 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $54.95 | $74.13 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $23.99 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $37.15 | $50.12 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $436.52 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $141.25 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $295.12 | $398.11 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $91.20 | Facility | None | $52.48 | $69.18 | $91.20 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $52.48 | $63.10 | $81.28 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $17.38 | $20.42 | $26.92 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $35.48 | $42.66 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.79 Median $27.54 Typical High $36.31 | Professional | None (both parts) | $4.79 | $27.54 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $23.99 | $69.18 | $134.90 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $100.00 | Facility | None | $54.95 | $69.18 | $100.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $52.48 | $74.13 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $23.99 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $50.12 | $72.44 |
United Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $123.03 | Facility | None | $89.13 | $93.33 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $58.88 | $77.62 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $23.99 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $81.28 | Professional | TC · Technical part | $39.81 | $53.70 | $81.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
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 $26.30 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $26.30 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $10.47 | $12.59 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $26.30 | $31.62 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $10.47 | $12.59 | $16.22 |
Where Texas sits
The same service costs 4.9 times more in Nebraska 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
$36.31
NE $155UT $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.