How much rates vary
Facilitymedian $851 · 10th to 90th $117 to $1,950Professionalmedian $407 · 10th to 90th $72 to $692
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 $426.58 Median $501.19 Typical High $575.44 | Facility | None | $426.58 | $501.19 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $426.58 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $478.63 | Professional | TC · Technical part | $338.84 | $398.11 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
BCBS Texas Setting Facility Modifier None Typical Low $524.81 Median $1,202.26 Typical High $2,137.96 | Facility | None | $524.81 | $1,202.26 | $2,137.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $95.50 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $95.50 | $398.11 | $691.83 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $933.25 | Facility | None | $354.81 | $380.19 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $478.63 | $616.60 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $128.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $489.78 Typical High $645.65 | Professional | TC · Technical part | $371.54 | $489.78 | $645.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $3,548.13 | $5,128.61 | $5,128.61 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $977.24 Typical High $977.24 | Professional | 26 · Professional part | $741.31 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $2,754.23 | $4,073.80 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $1,230.27 | Facility | None | $426.58 | $575.44 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $426.58 | $501.19 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $89.13 | $107.15 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $478.63 | Professional | TC · Technical part | $338.84 | $398.11 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $107.15 Typical High $562.34 | Professional | None (both parts) | $18.20 | $107.15 | $562.34 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $776.25 Typical High $2,089.30 | Professional | None (both parts) | $213.80 | $776.25 | $2,089.30 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $630.96 Typical High $891.25 | Facility | None | $354.81 | $630.96 | $891.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $478.63 | $616.60 | $851.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $128.82 | $190.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $489.78 Typical High $630.96 | Professional | TC · Technical part | $371.54 | $489.78 | $630.96 |
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 $398.11 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $398.11 | $537.03 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $128.82 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $309.03 | $416.87 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
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 $213.80 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $100.00 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $251.19 | $288.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $114.82 | Professional | 53 · Discontinued | $85.11 | $100.00 | $114.82 |
Where Texas sits
The same service costs 3.1 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
$407
AK $1,259TX $407
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.