How much rates vary
Facilitymedian $145 · 10th to 90th $85 to $912Professionalmedian $100 · 10th to 90th $47 to $708
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 $100.00 Typical High $109.65 | Facility | None | $83.18 | $100.00 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $83.18 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $50.12 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $20.42 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $89.13 Median $380.19 Typical High $691.83 | Facility | None | $89.13 | $380.19 | $691.83 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $93.33 | $131.83 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $933.25 | Facility | None | $97.72 | $204.17 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $85.11 | $114.82 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | None (both parts) | $691.83 | $691.83 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $851.14 | Facility | None | $85.11 | $120.23 | $851.14 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $83.18 | $100.00 | $114.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $41.69 | $50.12 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $16.98 | $20.42 | $23.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $10.47 | $58.88 | $74.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $89.13 | $162.18 | $204.17 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $891.25 | Facility | None | $85.11 | $128.82 | $891.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $85.11 | $114.82 | $162.18 |
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 $85.11 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $85.11 | $114.82 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
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 TC · Technical part Typical Low $93.33 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $102.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $138.04 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $102.33 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $138.04 | $218.78 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$100
AK $282FL $89.13
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.