How much rates vary
Facilitymedian $724 · 10th to 90th $282 to $1,778Professionalmedian $347 · 10th to 90th $48 to $575
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 $346.74 Median $407.38 Typical High $691.83 | Facility | None | $346.74 | $407.38 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $346.74 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $52.48 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $501.19 | Professional | TC · Technical part | $302.00 | $363.08 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $380.19 | $457.09 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $56.23 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $1,995.26 | Facility | None | $398.11 | $1,000.00 | $1,995.26 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $44.67 | $331.13 | $562.34 |
Baylor Scott & White Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $954.99 | Facility | None | $234.42 | $446.68 | $954.99 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
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 $165.96 Median $269.15 Typical High $380.19 | Facility | None | $165.96 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $389.05 | $501.19 | $691.83 |
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 $331.13 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $331.13 | $436.52 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $4,168.69 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $478.63 | Professional | 26 · Professional part | $354.81 | $354.81 | $478.63 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $3,715.35 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $3,715.35 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $933.25 Typical High $2,041.74 | Facility | None | $457.09 | $933.25 | $2,041.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $346.74 | $407.38 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $53.70 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $302.00 | $363.08 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $81.28 Typical High $478.63 | Professional | None (both parts) | $12.30 | $81.28 | $478.63 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $691.83 Typical High $1,698.24 | Professional | None (both parts) | $104.71 | $691.83 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $398.11 Typical High $676.08 | Facility | None | $218.78 | $398.11 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $389.05 | $501.19 | $691.83 |
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 $331.13 Median $436.52 Typical High $588.84 | Professional | TC · Technical part | $331.13 | $436.52 | $588.84 |
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 $269.15 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $269.15 | $416.87 | $630.96 |
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 $208.93 Median $363.08 Typical High $549.54 | Professional | TC · Technical part | $208.93 | $363.08 | $549.54 |
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 $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 $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
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 $173.78 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $69.18 | $83.18 | $97.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 59 · Distinct service | $457.09 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $446.68 Median $457.09 Typical High $457.09 | Professional | Q6 · Substitute physician, paid per time | $446.68 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $204.17 Typical High $234.42 | Professional | 52 · Reduced service | $173.78 | $204.17 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $69.18 | $83.18 | $93.33 |
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
$355
AK $933NM $309
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.