How much rates vary
Facilitymedian $295 · 10th to 90th $135 to $550Professionalmedian $102 · 10th to 90th $18 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 $123.03 Median $147.91 Typical High $165.96 | Facility | None | $123.03 | $147.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $123.03 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $20.89 | $25.12 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $123.03 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $134.90 Median $316.23 Typical High $562.34 | Facility | None | $134.90 | $316.23 | $562.34 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.38 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $21.38 | $102.33 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $24.55 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $588.84 | Facility | None | $74.13 | $204.17 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $120.23 | $173.78 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $141.25 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,174.90 |
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 $851.14 Median $851.14 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $851.14 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $213.80 | Facility | None | $123.03 | $158.49 | $213.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $123.03 | $147.91 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $20.89 | $25.12 | $30.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $123.03 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $15.14 | $81.28 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $181.97 Typical High $478.63 | Professional | None (both parts) | $47.86 | $181.97 | $478.63 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $177.83 Typical High $269.15 | Facility | None | $104.71 | $177.83 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $120.23 | $173.78 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $29.51 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $141.25 | $190.55 |
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 $102.33 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $102.33 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $20.89 | $28.18 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $112.20 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
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 $61.66 Median $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $29.51 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $74.13 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $29.51 | $33.11 |
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
$102
AK $324TX $102
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.