How much rates vary
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 $102.33 Median $120.23 Typical High $134.90 | Facility | None | $102.33 | $120.23 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $102.33 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $57.54 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $63.10 | $72.44 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $407.38 Typical High $741.31 | Facility | None | $165.96 | $407.38 | $741.31 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $52.48 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $52.48 | $93.33 | $162.18 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $91.20 Typical High $204.17 | Facility | None | $22.91 | $91.20 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $112.20 | $134.90 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $69.18 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $66.07 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,174.90 | Professional | None (both parts) | $831.76 | $831.76 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | 26 · Professional part | $398.11 | $398.11 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $436.52 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $194.98 | Facility | None | $102.33 | $134.90 | $194.98 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $102.33 | $120.23 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $57.54 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $63.10 | $72.44 |
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 $70.79 Median $162.18 Typical High $489.78 | Professional | None (both parts) | $70.79 | $162.18 | $489.78 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $131.83 Typical High $208.93 | Facility | None | $47.86 | $131.83 | $208.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $112.20 | $134.90 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $69.18 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $66.07 | $100.00 |
United Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $269.15 | Facility | None | $194.98 | $204.17 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $91.20 | $134.90 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $69.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $28.84 | $61.66 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 59 · Distinct service | $120.23 | $120.23 | $120.23 |
Where Texas sits
The same service costs 4.7 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
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.