How much rates vary
Facilitymedian $589 · 10th to 90th $245 to $1,585Professionalmedian $339 · 10th to 90th $62 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 $331.13 Median $398.11 Typical High $691.83 | Facility | None | $331.13 | $398.11 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $331.13 | $398.11 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $79.43 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $316.23 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $467.74 | Professional | None (both parts) | $426.58 | $457.09 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $87.10 | $87.10 | $102.33 |
BCBS Texas Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $1,698.24 | Facility | None | $354.81 | $912.01 | $1,698.24 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $74.13 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $74.13 | $323.59 | $616.60 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $309.03 Median $316.23 Typical High $776.25 | Professional | None (both parts) | $309.03 | $316.23 | $776.25 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 26 · Professional part | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $501.19 | Facility | None | $186.21 | $269.15 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $380.19 | $489.78 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $93.33 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $549.54 | Professional | TC · Technical part | $309.03 | $398.11 | $549.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $4,168.69 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $776.25 Typical High $776.25 | Professional | 26 · Professional part | $741.31 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,187.76 Median $2,187.76 Typical High $3,388.44 | Professional | TC · Technical part | $2,187.76 | $2,187.76 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $1,096.48 Typical High $2,089.30 | Facility | None | $398.11 | $1,096.48 | $2,089.30 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $331.13 | $398.11 | $562.34 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $79.43 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $457.09 | Professional | TC · Technical part | $269.15 | $316.23 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $107.15 Typical High $489.78 | Professional | None (both parts) | $18.20 | $107.15 | $489.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $645.65 Typical High $1,698.24 | Professional | None (both parts) | $162.18 | $645.65 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $645.65 | Facility | None | $218.78 | $426.58 | $645.65 |
Providence Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $380.19 | $489.78 | $707.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $93.33 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $549.54 | Professional | TC · Technical part | $309.03 | $398.11 | $549.54 |
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 $309.03 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $309.03 | $416.87 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $93.33 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $323.59 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
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 $165.96 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $165.96 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $95.50 | Professional | 53 · Discontinued | $66.07 | $79.43 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $194.98 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $194.98 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $66.07 | $79.43 | $93.33 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$347
AK $977NM $302
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.