How much rates vary
Facilitymedian $219 · 10th to 90th $123 to $537Professionalmedian $85 · 10th to 90th $18 to $174
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 $97.72 Median $114.82 Typical High $131.83 | Facility | None | $97.72 | $114.82 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $97.72 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $40.74 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $75.86 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $97.72 | $117.49 | $125.89 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $588.84 | Facility | None | $141.25 | $331.13 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $35.48 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $35.48 | $85.11 | $162.18 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $117.49 | $128.82 | $173.78 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $41.69 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $204.17 | Facility | None | $70.79 | $112.20 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $102.33 | $134.90 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $47.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $63.10 | $87.10 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | None (both parts) | $954.99 | $954.99 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $363.08 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $165.96 Typical High $467.74 | Facility | None | $114.82 | $165.96 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $97.72 | $114.82 | $165.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $40.74 | $56.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $75.86 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $54.95 Typical High $131.83 | Professional | None (both parts) | $10.23 | $54.95 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $74.13 | $162.18 | $436.52 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $199.53 | Facility | None | $97.72 | $128.82 | $199.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $102.33 | $134.90 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $47.86 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $87.10 | $141.25 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $100.00 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $89.13 | $141.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
7 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 $48.98 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $48.98 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $19.50 | $23.44 | $28.84 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $93.33 Median $117.49 Typical High $125.89 | Professional | 59 · Distinct service | $93.33 | $117.49 | $125.89 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | Q6 · Substitute physician, paid per time | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | SA · Nurse practitioner | $114.82 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $57.54 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $23.44 | $28.18 |
Where Texas sits
The same service costs 3.2 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
$93.33
AK $302TX $93.33
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.