How much rates vary
Facilitymedian $155 · 10th to 90th $72 to $309Professionalmedian $51 · 10th to 90th $10 to $120
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 $51.29 Median $60.26 Typical High $67.61 | Facility | None | $51.29 | $60.26 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $131.83 | Professional | None (both parts) | $51.29 | $60.26 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $16.60 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $114.82 | Professional | TC · Technical part | $36.31 | $43.65 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $54.95 | $64.57 | $120.23 |
BCBS Texas Setting Facility Modifier None Typical Low $69.18 Median $158.49 Typical High $323.59 | Facility | None | $69.18 | $158.49 | $323.59 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.79 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $14.79 | $47.86 | $89.13 |
Christus Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $363.08 | Facility | None | $89.13 | $134.90 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $173.78 | Professional | None (both parts) | $56.23 | $74.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $15.85 | $19.95 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $138.04 | Professional | TC · Technical part | $40.74 | $54.95 | $138.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $630.96 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $575.44 | $588.84 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $851.14 | Facility | None | $60.26 | $85.11 | $851.14 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $131.83 | Professional | None (both parts) | $51.29 | $60.26 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $16.60 | $21.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $36.31 | $43.65 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $30.90 Typical High $67.61 | Professional | None (both parts) | $5.37 | $30.90 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $81.28 Typical High $239.88 | Professional | None (both parts) | $33.11 | $81.28 | $239.88 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $97.72 Typical High $269.15 | Facility | None | $60.26 | $97.72 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $169.82 | Professional | None (both parts) | $56.23 | $74.13 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $19.95 | $29.51 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $40.74 | $54.95 | $128.82 |
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 $53.70 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $53.70 | $91.20 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $19.50 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $38.90 | $66.07 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
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 $25.12 Median $30.20 Typical High $39.81 | Professional | 52 · Reduced service | $25.12 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.02 Typical High $15.85 | Professional | 53 · Discontinued | $10.23 | $12.02 | $15.85 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 59 · Distinct service | $54.95 | $64.57 | $67.61 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | Q6 · Substitute physician, paid per time | $64.57 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | 52 · Reduced service | $25.12 | $30.20 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.02 Typical High $15.14 | Professional | 53 · Discontinued | $10.23 | $12.02 | $15.14 |
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
$51.29
AK $162TX $51.29
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.