How much rates vary
Facilitymedian $1,023 · 10th to 90th $447 to $1,905Professionalmedian $468 · 10th to 90th $76 to $871
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 $478.63 Median $575.44 Typical High $645.65 | Facility | None | $478.63 | $575.44 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $478.63 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $257.04 | Professional | 26 · Professional part | $169.82 | $204.17 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $371.54 Typical High $467.74 | Professional | TC · Technical part | $316.23 | $371.54 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
BCBS Texas Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,905.46 | Facility | None | $467.74 | $1,047.13 | $1,905.46 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $204.17 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $204.17 | $524.81 | $977.24 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $208.93 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $588.84 Typical High $1,862.09 | Facility | None | $181.97 | $588.84 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $758.58 Typical High $933.25 | Professional | None (both parts) | $562.34 | $758.58 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $363.08 | Professional | 26 · Professional part | $194.98 | $239.88 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $346.74 | $467.74 | $630.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $6,606.93 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $6,606.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,412.54 Median $1,412.54 Typical High $1,862.09 | Professional | 26 · Professional part | $1,412.54 | $1,412.54 | $1,862.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $4,677.35 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $831.76 | Facility | None | $436.52 | $630.96 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $478.63 | $575.44 | $741.31 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $263.03 | Professional | 26 · Professional part | $169.82 | $204.17 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $371.54 Typical High $478.63 | Professional | TC · Technical part | $316.23 | $371.54 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $208.93 Typical High $724.44 | Professional | None (both parts) | $36.31 | $208.93 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $891.25 Typical High $2,691.53 | Professional | None (both parts) | $416.87 | $891.25 | $2,691.53 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $977.24 | Facility | None | $281.84 | $724.44 | $977.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $562.34 Median $758.58 Typical High $977.24 | Professional | None (both parts) | $562.34 | $758.58 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $354.81 | Professional | 26 · Professional part | $194.98 | $239.88 | $354.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $346.74 | $467.74 | $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 $407.38 Median $588.84 Typical High $870.96 | Professional | None (both parts) | $407.38 | $588.84 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $354.81 | Professional | 26 · Professional part | $173.78 | $234.42 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $346.74 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
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 $239.88 Median $288.40 Typical High $354.81 | Professional | 52 · Reduced service | $239.88 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | 53 · Discontinued | $97.72 | $114.82 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $288.40 Typical High $346.74 | Professional | 52 · Reduced service | $239.88 | $288.40 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | 53 · Discontinued | $97.72 | $114.82 | $138.04 |
Where Texas sits
The same service costs 3.2 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· 48th of 51
$479
AK $1,445KY $447
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.