How much rates vary
Facilitymedian $120 · 10th to 90th $55 to $229Professionalmedian $93 · 10th to 90th $37 to $1,549
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 $75.86 Median $89.13 Typical High $100.00 | Facility | None | $75.86 | $89.13 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $35.48 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $45.71 | $54.95 | $66.07 |
BCBS Texas Setting Facility Modifier None Typical Low $53.70 Median $123.03 Typical High $218.78 | Facility | None | $53.70 | $123.03 | $218.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $34.67 | $51.29 | $75.86 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $35.48 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $204.17 Typical High $616.60 | Facility | None | $58.88 | $204.17 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $83.18 | $107.15 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $41.69 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $64.57 | $97.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $257.04 | $257.04 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $100.00 Typical High $141.25 | Facility | None | $38.02 | $100.00 | $141.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $35.48 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $45.71 | $54.95 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $43.65 | Professional | None (both parts) | $30.20 | $37.15 | $43.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $40.74 | $104.71 | $186.21 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $114.82 Typical High $467.74 | Facility | None | $58.88 | $114.82 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $83.18 | $107.15 | $162.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $41.69 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $64.57 | $95.50 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $776.25 | Facility | None | $562.34 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $79.43 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $42.66 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $27.54 | $169.82 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
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 $37.15 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $15.14 | $18.20 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $44.67 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $15.14 | $18.20 | $21.38 |
Where Texas sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 43rd of 51
$93.33
HI $309KY $57.54
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.