How much rates vary
Facilitymedian $309 · 10th to 90th $138 to $575Professionalmedian $132 · 10th to 90th $22 to $240
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 $117.49 Median $138.04 Typical High $158.49 | Facility | None | $117.49 | $138.04 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $117.49 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $30.20 | Professional | 26 · Professional part | $20.42 | $24.55 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $114.82 | $144.54 |
Ambetter 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 |
BCBS Texas Setting Facility Modifier None Typical Low $144.54 Median $331.13 Typical High $588.84 | Facility | None | $144.54 | $331.13 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.88 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $21.88 | $128.82 | $218.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $25.12 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $363.08 | Facility | None | $77.62 | $138.04 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $141.25 | $190.55 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $29.51 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $117.49 | $154.88 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Professional | None (both parts) | $954.99 | $954.99 | $1,479.11 |
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 $794.33 Median $794.33 Typical High $1,258.93 | Professional | TC · Technical part | $794.33 | $794.33 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $199.53 | Facility | None | $117.49 | $162.18 | $199.53 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $117.49 | $138.04 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $24.55 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $114.82 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $20.89 | $109.65 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $234.42 Typical High $602.56 | Professional | None (both parts) | $50.12 | $234.42 | $602.56 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $269.15 | Facility | None | $107.15 | $165.96 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $144.54 | $190.55 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $29.51 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $151.36 | $204.17 |
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 $141.25 Typical High $208.93 | Professional | None (both parts) | $102.33 | $141.25 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $29.51 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $112.20 | $169.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
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 $58.88 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $23.44 | $27.54 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $69.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $27.54 | $33.88 |
Where Texas sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 47th of 51
$135
AK $324KY $115
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.