How much rates vary
Facilitymedian $646 · 10th to 90th $302 to $1,445Professionalmedian $295 · 10th to 90th $48 to $501
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 $295.12 Median $354.81 Typical High $512.86 | Facility | None | $295.12 | $354.81 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $295.12 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $52.48 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $251.19 | $302.00 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $331.13 | $398.11 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $54.95 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | TC · Technical part | $281.84 | $281.84 | $338.84 |
BCBS Texas Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $1,621.81 | Facility | None | $338.84 | $870.96 | $1,621.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $44.67 | $281.84 | $478.63 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $398.11 | $436.52 | $588.84 |
Christus Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $380.19 | Facility | None | $162.18 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $331.13 | $436.52 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $61.66 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $281.84 | $371.54 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $3,548.13 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | 26 · Professional part | $354.81 | $354.81 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,089.30 Typical High $3,090.30 | Professional | TC · Technical part | $2,089.30 | $2,089.30 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $891.25 Typical High $1,479.11 | Facility | None | $316.23 | $891.25 | $1,479.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $295.12 | $354.81 | $537.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $53.70 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $251.19 | $302.00 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $72.44 Typical High $398.11 | Professional | None (both parts) | $12.30 | $72.44 | $398.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $588.84 Typical High $1,445.44 | Professional | None (both parts) | $104.71 | $588.84 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $575.44 | Facility | None | $218.78 | $354.81 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $331.13 | $436.52 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $61.66 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $281.84 | $363.08 | $489.78 |
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 $251.19 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $251.19 | $363.08 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $309.03 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
6 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 $147.91 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $147.91 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $58.88 | $70.79 | $83.18 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $331.13 Median $398.11 Typical High $398.11 | Professional | 59 · Distinct service | $331.13 | $398.11 | $398.11 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | Q6 · Substitute physician, paid per time | $398.11 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $147.91 | $173.78 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | 53 · Discontinued | $58.88 | $70.79 | $79.43 |
Where Texas sits
The same service costs 3.0 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
$302
AK $794NM $269
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.