How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,820 to $9,120Professionalmedian $1,413 · 10th to 90th $240 to $2,344
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 $1,412.54 Median $1,659.59 Typical High $1,905.46 | Facility | None | $1,412.54 | $1,659.59 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | None (both parts) | $1,412.54 | $1,659.59 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | 26 · Professional part | $251.19 | $302.00 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,380.38 Typical High $1,659.59 | Professional | TC · Technical part | $1,174.90 | $1,380.38 | $1,659.59 |
BCBS Texas Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,288.25 Typical High $2,398.83 | Professional | None (both parts) | $288.40 | $1,288.25 | $2,398.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $302.00 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,949.84 Typical High $2,884.03 | Professional | None (both parts) | $1,479.11 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $354.81 Typical High $537.03 | Professional | 26 · Professional part | $281.84 | $354.81 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,584.89 Typical High $2,398.83 | Professional | TC · Technical part | $1,202.26 | $1,584.89 | $2,398.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $11,748.98 Median $11,748.98 Typical High $16,982.44 | Professional | None (both parts) | $11,748.98 | $11,748.98 | $16,982.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,041.74 Median $2,041.74 Typical High $2,818.38 | Professional | 26 · Professional part | $2,041.74 | $2,041.74 | $2,818.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,549.93 Median $9,549.93 Typical High $14,125.38 | Professional | TC · Technical part | $9,549.93 | $9,549.93 | $14,125.38 |
Moda Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,412.54 | $1,862.09 | $2,454.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | None (both parts) | $1,412.54 | $1,659.59 | $2,041.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $302.00 Typical High $389.05 | Professional | 26 · Professional part | $251.19 | $302.00 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,380.38 Typical High $1,659.59 | Professional | TC · Technical part | $1,174.90 | $1,380.38 | $1,659.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $354.81 Typical High $1,949.84 | Professional | None (both parts) | $60.26 | $354.81 | $1,949.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $2,691.53 Typical High $6,918.31 | Professional | None (both parts) | $616.60 | $2,691.53 | $6,918.31 |
Providence Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,318.26 | $1,862.09 | $2,754.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,949.84 Typical High $2,951.21 | Professional | None (both parts) | $1,479.11 | $1,949.84 | $2,951.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $354.81 Typical High $524.81 | Professional | 26 · Professional part | $281.84 | $354.81 | $524.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,584.89 Typical High $2,290.87 | Professional | TC · Technical part | $1,202.26 | $1,584.89 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,862.09 Typical High $2,818.38 | Professional | None (both parts) | $1,348.96 | $1,862.09 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $263.03 | $346.74 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,513.56 Typical High $2,290.87 | Professional | TC · Technical part | $1,096.48 | $1,513.56 | $2,290.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
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 $707.95 Median $831.76 Typical High $977.24 | Professional | 52 · Reduced service | $707.95 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | 53 · Discontinued | $281.84 | $338.84 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $831.76 Typical High $977.24 | Professional | 52 · Reduced service | $707.95 | $831.76 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | 53 · Discontinued | $281.84 | $338.84 | $389.05 |
Where Texas sits
The same service costs 3.2 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
$1,413
AK $4,467TX $1,413
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.