How much rates vary
Facilitymedian $1,862 · 10th to 90th $933 to $4,169Professionalmedian $741 · 10th to 90th $107 to $1,288
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 $741.31 Median $891.25 Typical High $3,981.07 | Facility | None | $741.31 | $891.25 | $3,981.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $1,318.26 Typical High $5,370.32 | Facility | TC · Technical part | $660.69 | $1,318.26 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $891.25 Typical High $1,258.93 | Professional | None (both parts) | $741.31 | $891.25 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $114.82 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,096.48 | Professional | TC · Technical part | $645.65 | $776.25 | $1,096.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $851.14 | $851.14 | $1,023.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $109.65 | $120.23 | $154.88 |
BCBS Texas Setting Facility Modifier None Typical Low $1,071.52 Median $2,398.83 Typical High $4,265.80 | Facility | None | $1,071.52 | $2,398.83 | $4,265.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $112.20 Median $758.58 Typical High $1,548.82 | Professional | None (both parts) | $112.20 | $758.58 | $1,548.82 |
Baylor Scott & White Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $8,511.38 | Facility | None | $851.14 | $1,819.70 | $8,511.38 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Christus Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $2,041.74 | Facility | None | $831.76 | $891.25 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $134.90 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $1,445.44 | Professional | TC · Technical part | $724.44 | $954.99 | $1,445.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $8,709.64 Typical High $8,709.64 | Professional | None (both parts) | $6,025.60 | $8,709.64 | $8,709.64 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $776.25 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $5,248.07 | $7,762.47 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,801.89 | $7,079.46 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $645.65 Median $1,148.15 Typical High $5,370.32 | Facility | TC · Technical part | $645.65 | $1,148.15 | $5,370.32 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $891.25 Typical High $1,318.26 | Professional | None (both parts) | $741.31 | $891.25 | $1,318.26 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $114.82 | $162.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,148.15 | Professional | TC · Technical part | $645.65 | $776.25 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $165.96 Typical High $1,000.00 | Professional | None (both parts) | $24.55 | $165.96 | $1,000.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $3,235.94 Typical High $3,715.35 | Professional | None (both parts) | $446.68 | $3,235.94 | $3,715.35 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,479.11 | Facility | None | $758.58 | $1,023.29 | $1,479.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $1,698.24 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,698.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $134.90 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $1,412.54 | Professional | TC · Technical part | $724.44 | $954.99 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,778.28 | Facility | None | $1,288.25 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,023.29 Typical High $1,584.89 | Professional | None (both parts) | $741.31 | $1,023.29 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $134.90 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $870.96 Typical High $1,380.38 | Professional | TC · Technical part | $630.96 | $870.96 | $1,380.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $891.25 | $891.25 | $891.25 |
8 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 Facility Modifier 52 · Reduced service Typical Low $371.54 Median $1,202.26 Typical High $2,691.53 | Facility | 52 · Reduced service | $371.54 | $1,202.26 | $2,691.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $478.63 Typical High $1,071.52 | Facility | 53 · Discontinued | $147.91 | $478.63 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $446.68 Typical High $562.34 | Professional | 52 · Reduced service | $371.54 | $446.68 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | 53 · Discontinued | $147.91 | $177.83 | $223.87 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $323.59 Median $575.44 Typical High $2,691.53 | Facility | 52 · Reduced service | $323.59 | $575.44 | $2,691.53 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $229.09 Typical High $1,071.52 | Facility | 53 · Discontinued | $128.82 | $229.09 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $446.68 Typical High $562.34 | Professional | 52 · Reduced service | $371.54 | $446.68 | $562.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | 53 · Discontinued | $147.91 | $177.83 | $223.87 |
Where Texas sits
The same service costs 2.9 times more in Alaska 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
$741
AK $2,138TX $741
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.