How much rates vary
Facilitymedian $141 · 10th to 90th $74 to $269Professionalmedian $72 · 10th to 90th $17 to $148
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 $83.18 Median $97.72 Typical High $112.20 | Facility | None | $83.18 | $97.72 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $81.28 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $30.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $67.61 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $102.33 | $102.33 | $112.20 |
BCBS Texas Setting Facility Modifier None Typical Low $67.61 Median $158.49 Typical High $288.40 | Facility | None | $67.61 | $158.49 | $288.40 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $27.54 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $27.54 | $74.13 | $125.89 |
Christus Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $91.20 Typical High $346.74 | Facility | None | $21.38 | $91.20 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $79.43 | $112.20 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $37.15 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $70.79 | $91.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $691.83 | $691.83 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $234.42 | $234.42 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $467.74 | $467.74 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $123.03 Typical High $346.74 | Facility | None | $83.18 | $123.03 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $83.18 | $97.72 | $125.89 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $30.90 | $40.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $67.61 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $54.95 Typical High $131.83 | Professional | None (both parts) | $10.23 | $54.95 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $128.82 Typical High $380.19 | Professional | None (both parts) | $63.10 | $128.82 | $380.19 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $109.65 Typical High $181.97 | Facility | None | $36.31 | $109.65 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $79.43 | $112.20 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $37.15 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $46.77 | $72.44 | $93.33 |
United Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $269.15 | Facility | None | $194.98 | $204.17 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $60.26 | $87.10 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $35.48 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $26.30 | $52.48 | $87.10 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
5 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 $41.69 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $19.95 | $22.39 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | Q6 · Substitute physician, paid per time | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $48.98 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $19.95 | $22.39 |
Where Texas sits
The same service costs 3.5 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· 50th of 51
$74.13
AK $229KY $64.57
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.