How much rates vary
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 |
|---|---|---|---|---|---|
BCBS Texas Setting Facility Modifier None Typical Low $147.91 Median $398.11 Typical High $724.44 | Facility | None | $147.91 | $398.11 | $724.44 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $125.89 Typical High $346.74 | Facility | None | $42.66 | $125.89 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $309.03 Typical High $645.65 | Facility | None | $109.65 | $309.03 | $645.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $7.08 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $7.08 | $50.12 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $125.89 Typical High $208.93 | Facility | None | $45.71 | $125.89 | $208.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.90 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $38.90 | $79.43 | $79.43 |
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 $21.38 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $21.38 | $34.67 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $41.69 | Professional | None (both parts) | $20.89 | $20.89 | $41.69 |
2 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 |
|---|---|---|---|---|---|
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | 26 · Professional part | $3,467.37 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $3,467.37 | $3,467.37 | $3,467.37 |
Where Texas sits
The same service costs 7413.1 times more in Pennsylvania than in North Carolina. 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· 37th of 48
$44.67
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.