How much rates vary
Facilitymedian $123 · 10th to 90th $48 to $240Professionalmedian $66 · 10th to 90th $13 to $115
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 $67.61 Median $79.43 Typical High $89.13 | Facility | None | $67.61 | $79.43 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $67.61 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $34.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $38.90 | $45.71 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $67.61 | $79.43 | $79.43 |
BCBS Texas Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $239.88 | Facility | None | $47.86 | $125.89 | $239.88 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $29.51 Median $58.88 Typical High $100.00 | Professional | None (both parts) | $29.51 | $58.88 | $100.00 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $44.67 Typical High $100.00 | Facility | None | $40.74 | $44.67 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $70.79 | $91.20 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $39.81 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $51.29 | $74.13 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $64.57 | $95.50 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $549.54 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $234.42 | $309.03 | $309.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $316.23 | $446.68 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $302.00 | Facility | None | $79.43 | $114.82 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $102.33 | Professional | None (both parts) | $67.61 | $79.43 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $28.18 | $34.67 | $45.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $45.71 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $10.23 | $54.95 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $50.12 | $112.20 | $316.23 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $85.11 Typical High $123.03 | Facility | None | $40.74 | $85.11 | $123.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $70.79 | $91.20 | $138.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $39.81 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $51.29 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $64.57 | $87.10 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $40.74 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $35.48 | $47.86 | $72.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
6 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 $33.11 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $15.85 | $18.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | Q6 · Substitute physician, paid per time | $85.11 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $39.81 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $15.85 | $18.20 |
Where Texas sits
The same service costs 3.0 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
$67.61
AK $204TX $67.61
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.