How much rates vary
Facilitymedian $191 · 10th to 90th $66 to $302Professionalmedian $74 · 10th to 90th $12 to $145
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 $144.54 | Professional | None (both parts) | $89.13 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $61.66 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $38.02 | $44.67 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $107.15 | $114.82 | $125.89 |
Ambetter 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 |
BCBS Texas Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $302.00 | Facility | None | $63.10 | $158.49 | $302.00 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $52.48 | $89.13 | $141.25 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $114.82 | $125.89 | $190.55 |
Christus Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $269.15 Typical High $380.19 | Facility | None | $218.78 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $95.50 | $123.03 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $70.79 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $38.90 | $54.95 | $85.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $724.44 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $416.87 | $562.34 | $562.34 |
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 $104.71 Median $309.03 Typical High $831.76 | Facility | None | $104.71 | $309.03 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $89.13 | $107.15 | $154.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $61.66 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $38.02 | $44.67 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $10.47 | $60.26 | $97.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $162.18 Typical High $416.87 | Professional | None (both parts) | $69.18 | $162.18 | $416.87 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $269.15 | Facility | None | $104.71 | $151.36 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $95.50 | $123.03 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $70.79 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $38.90 | $52.48 | $83.18 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $95.50 | $131.83 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $72.44 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $41.69 | $57.54 | $85.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
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 |
5 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 $43.65 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $43.65 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $25.70 | Professional | 53 · Discontinued | $17.78 | $20.89 | $25.70 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $114.82 Typical High $147.91 | Professional | 59 · Distinct service | $109.65 | $114.82 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $43.65 | $52.48 | $63.10 |
Moda Health 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 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 50th of 51
$75.86
AK $275UT $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.