How much rates vary
Facilitymedian $355 · 10th to 90th $115 to $550Professionalmedian $178 · 10th to 90th $28 to $324
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 $194.98 Median $229.09 Typical High $257.04 | Facility | None | $194.98 | $229.09 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $194.98 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $120.23 | $144.54 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $89.13 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $194.98 | $245.47 | $323.59 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $549.54 | Facility | None | $114.82 | $288.40 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $125.89 | $199.53 | $323.59 |
Baylor Scott & White Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $676.08 | Facility | None | $257.04 | $275.42 | $676.08 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $245.47 | $275.42 | $407.38 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $660.69 | Facility | None | $371.54 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $208.93 | $275.42 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $257.04 | Professional | 26 · Professional part | $134.90 | $169.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $102.33 | $169.82 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $229.09 | $281.84 | $354.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,584.89 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $977.24 Median $1,318.26 Typical High $1,318.26 | Professional | 26 · Professional part | $977.24 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $616.60 | $851.14 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $870.96 Typical High $1,174.90 | Facility | None | $229.09 | $870.96 | $1,174.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $194.98 | $234.42 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $120.23 | $144.54 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $89.13 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.62 Median $102.33 Typical High $257.04 | Professional | None (both parts) | $18.62 | $102.33 | $257.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $158.49 | $346.74 | $912.01 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $489.78 | Facility | None | $229.09 | $331.13 | $489.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $208.93 | $275.42 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $169.82 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $102.33 | $162.18 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $776.25 | Facility | None | $562.34 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $199.53 | $281.84 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $123.03 | $173.78 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $109.65 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
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 $97.72 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $97.72 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $38.90 | $45.71 | $56.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $239.88 Median $245.47 Typical High $263.03 | Professional | 59 · Distinct service | $239.88 | $245.47 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $114.82 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $38.90 | $45.71 | $56.23 |
Where Texas sits
The same service costs 3.3 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
$178
AK $589TX $178
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.