How much rates vary
Facilitymedian $148 · 10th to 90th $98 to $324Professionalmedian $105 · 10th to 90th $17 to $195
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 $114.82 Median $138.04 Typical High $154.88 | Facility | None | $114.82 | $138.04 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $114.82 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $60.26 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $117.49 | $147.91 | $158.49 |
BCBS Texas Setting Facility Modifier None Typical Low $83.18 Median $186.21 Typical High $331.13 | Facility | None | $83.18 | $186.21 | $331.13 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $69.18 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $69.18 | $120.23 | $199.53 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $79.43 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $380.19 | Facility | None | $125.89 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $128.82 | $165.96 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $95.50 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $53.70 | $72.44 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $537.03 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $416.87 | $588.84 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $467.74 | Facility | None | $138.04 | $177.83 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $114.82 | $138.04 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $60.26 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $67.61 Typical High $162.18 | Professional | None (both parts) | $12.30 | $67.61 | $162.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $91.20 | $213.80 | $549.54 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $269.15 | Facility | None | $125.89 | $177.83 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $128.82 | $165.96 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $93.33 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $53.70 | $72.44 | $97.72 |
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 $114.82 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $114.82 | $162.18 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $95.50 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $47.86 | $66.07 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $57.54 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $27.54 | $32.36 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 59 · Distinct service | $125.89 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | Q6 · Substitute physician, paid per time | $147.91 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $69.18 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $27.54 | $32.36 |
Where Texas sits
The same service costs 3.6 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
$105
AK $380TX $105
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.