How much rates vary
Facilitymedian $170 · 10th to 90th $115 to $501Professionalmedian $71 · 10th to 90th $12 to $155
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 $89.13 Median $104.71 Typical High $117.49 | Facility | None | $89.13 | $104.71 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $89.13 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $50.12 | $58.88 | $72.44 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $575.44 | Facility | None | $114.82 | $295.12 | $575.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $40.74 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $40.74 | $81.28 | $147.91 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $91.20 Typical High $204.17 | Facility | None | $36.31 | $91.20 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $95.50 | $123.03 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $54.95 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $69.18 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,023.29 | Professional | None (both parts) | $794.33 | $794.33 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | 26 · Professional part | $389.05 | $389.05 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | TC · Technical part | $478.63 | $478.63 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $269.15 | Facility | None | $104.71 | $131.83 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $89.13 | $104.71 | $134.90 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $46.77 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $58.88 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $60.26 Typical High $128.82 | Professional | None (both parts) | $10.47 | $60.26 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $67.61 | $162.18 | $426.58 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $114.82 Typical High $181.97 | Facility | None | $46.77 | $114.82 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $95.50 | $123.03 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $54.95 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $69.18 | $95.50 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $87.10 | $120.23 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $53.70 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $63.10 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
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 $44.67 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $20.89 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $52.48 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $17.78 | $20.89 | $24.55 |
Where Texas sits
The same service costs 3.9 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
$72.44
AK $282TX $72.44
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.