How much rates vary
Facilitymedian $617 · 10th to 90th $45 to $1,514Professionalmedian $316 · 10th to 90th $39 to $513
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 $281.84 Median $331.13 Typical High $380.19 | Facility | None | $281.84 | $331.13 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $281.84 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $40.74 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $245.47 | $295.12 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $1,621.81 | Facility | None | $398.11 | $912.01 | $1,621.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $36.31 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $36.31 | $269.15 | $478.63 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $446.68 Typical High $660.69 | Facility | None | $257.04 | $446.68 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $316.23 | $416.87 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $281.84 | $363.08 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $2,344.23 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $281.84 | $380.19 | $380.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $2,041.74 | $3,090.30 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $1,148.15 | Facility | None | $281.84 | $380.19 | $1,148.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $281.84 | $331.13 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $34.67 | $40.74 | $53.70 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $245.47 | $295.12 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $37.15 | $302.00 | $416.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $588.84 Typical High $1,412.54 | Professional | None (both parts) | $83.18 | $588.84 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $616.60 | Facility | None | $257.04 | $426.58 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $316.23 | $416.87 | $575.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $48.98 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $363.08 | $467.74 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,778.28 | Facility | None | $1,288.25 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $269.15 | $354.81 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $48.98 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $229.09 | $309.03 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
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 $141.25 Median $165.96 Typical High $199.53 | Professional | 52 · Reduced service | $141.25 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $79.43 | Professional | 53 · Discontinued | $56.23 | $66.07 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $141.25 | $165.96 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $56.23 | $66.07 | $75.86 |
Where Texas sits
The same service costs 3.0 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· 48th of 51
$324
AK $813NM $275
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.