How much rates vary
Facilitymedian $309 · 10th to 90th $141 to $562Professionalmedian $126 · 10th to 90th $22 to $219
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 $144.54 Median $169.82 Typical High $190.55 | Facility | None | $144.54 | $169.82 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $144.54 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $25.70 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $144.54 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $575.44 | Facility | None | $141.25 | $331.13 | $575.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.88 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $21.88 | $112.20 | $208.93 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $25.70 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $204.17 Typical High $363.08 | Facility | None | $75.86 | $204.17 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $131.83 | $186.21 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $30.20 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $151.36 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,318.26 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $245.47 | Facility | None | $144.54 | $173.78 | $245.47 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $144.54 | $169.82 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $25.70 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $144.54 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $20.42 | $109.65 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $50.12 | $218.78 | $537.03 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $316.23 | Facility | None | $107.15 | $194.98 | $316.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $131.83 | $186.21 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $30.20 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $147.91 | $208.93 |
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 $107.15 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $107.15 | $147.91 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $28.84 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $117.49 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
4 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 $70.79 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $28.84 | $33.88 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $85.11 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $28.84 | $33.88 | $38.90 |
Where Texas sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$129
AK $347NM $120
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.