How much rates vary
Facilitymedian $182 · 10th to 90th $81 to $525Professionalmedian $100 · 10th to 90th $17 to $209
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 $128.82 Median $151.36 Typical High $169.82 | Facility | None | $128.82 | $151.36 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $128.82 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $74.13 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $89.13 | Professional | TC · Technical part | $66.07 | $77.62 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $302.00 Typical High $575.44 | Facility | None | $114.82 | $302.00 | $575.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $64.57 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $64.57 | $120.23 | $213.80 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $91.20 Typical High $346.74 | Facility | None | $38.90 | $91.20 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $134.90 | $177.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $87.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $89.13 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,380.38 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | 26 · Professional part | $512.86 | $512.86 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | TC · Technical part | $549.54 | $549.54 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $602.56 | Facility | None | $151.36 | $194.98 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $128.82 | $151.36 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $74.13 | $93.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $77.62 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $67.61 Typical High $162.18 | Professional | None (both parts) | $12.30 | $67.61 | $162.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $194.98 Typical High $575.44 | Professional | None (both parts) | $85.11 | $194.98 | $575.44 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $154.88 Typical High $263.03 | Facility | None | $61.66 | $154.88 | $263.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $134.90 | $177.83 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $87.10 | $131.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $89.13 | $125.89 |
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 $123.03 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $123.03 | $169.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $85.11 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $81.28 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
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 $63.10 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $63.10 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $25.70 | $30.20 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $63.10 | $75.86 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $25.70 | $30.20 | $34.67 |
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
$102
AK $398TX $102
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.