How much rates vary
Facilitymedian $89 · 10th to 90th $58 to $195Professionalmedian $68 · 10th to 90th $7 to $126
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 $69.18 Median $81.28 Typical High $91.20 | Facility | None | $69.18 | $81.28 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $69.18 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $40.74 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $34.67 | $40.74 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $74.13 | $81.28 | $91.20 |
BCBS Texas Setting Facility Modifier None Typical Low $51.29 Median $120.23 Typical High $208.93 | Facility | None | $51.29 | $120.23 | $208.93 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $35.48 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $35.48 | $69.18 | $120.23 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $87.10 | $87.10 | $100.00 |
Christus Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $40.74 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $91.20 Typical High $346.74 | Facility | None | $25.70 | $91.20 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $75.86 | $97.72 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $47.86 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $36.31 | $48.98 | $66.07 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $562.34 | $562.34 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 26 · Professional part | $331.13 | $331.13 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | TC · Technical part | $331.13 | $331.13 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $120.23 | Facility | None | $69.18 | $91.20 | $120.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $69.18 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $40.74 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $34.67 | $40.74 | $52.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $31.62 Typical High $100.00 | Professional | None (both parts) | $5.37 | $31.62 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $47.86 | $109.65 | $323.59 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $102.33 Typical High $151.36 | Facility | None | $39.81 | $102.33 | $151.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $75.86 | $97.72 | $141.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $47.86 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $36.31 | $47.86 | $64.57 |
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 $66.07 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $66.07 | $87.10 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $46.77 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $40.74 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
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 $34.67 Median $40.74 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.22 Typical High $19.05 | Professional | 53 · Discontinued | $13.80 | $16.22 | $19.05 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $87.10 Typical High $89.13 | Professional | 59 · Distinct service | $69.18 | $87.10 | $89.13 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | SA · Nurse practitioner | $85.11 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $34.67 | $40.74 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.22 Typical High $18.62 | Professional | 53 · Discontinued | $13.80 | $16.22 | $18.62 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 49th of 51
$67.61
AK $219AL $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.