How much rates vary
Facilitymedian $19 · 10th to 90th $14 to $41Professionalmedian $19 · 10th to 90th $14 to $162
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 $11.22 Median $13.80 Typical High $17.78 | Facility | None | $11.22 | $13.80 | $17.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $14.13 Typical High $18.62 | Professional | None (both parts) | $11.22 | $14.13 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.76 Typical High $8.51 | Professional | 26 · Professional part | $5.25 | $6.76 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $7.41 Typical High $10.47 | Professional | TC · Technical part | $5.89 | $7.41 | $10.47 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $7.08 Median $18.62 Typical High $28.18 | Professional | None (both parts) | $7.08 | $18.62 | $28.18 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $120.23 | $162.18 | $162.18 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $66.07 | $120.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $97.72 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $18.20 Typical High $29.51 | Facility | None | $11.22 | $18.20 | $29.51 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $11.22 Median $14.13 Typical High $19.95 | Professional | None (both parts) | $11.22 | $14.13 | $19.95 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.76 Typical High $8.32 | Professional | 26 · Professional part | $5.25 | $6.76 | $8.32 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $7.24 Typical High $9.77 | Professional | TC · Technical part | $5.89 | $7.24 | $9.77 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.13 Median $13.49 Typical High $25.12 | Professional | None (both parts) | $8.13 | $13.49 | $25.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $17.78 Typical High $35.48 | Professional | None (both parts) | $8.51 | $17.78 | $35.48 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $33.88 | Facility | None | $13.80 | $20.42 | $33.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $19.95 Typical High $29.51 | Professional | None (both parts) | $14.79 | $19.95 | $29.51 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $6.61 | $8.32 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.96 Typical High $16.22 | Professional | TC · Technical part | $8.13 | $10.96 | $16.22 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $10.96 | $10.96 | $10.96 |
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 $5.62 Median $7.08 Typical High $9.33 | Professional | 52 · Reduced service | $5.62 | $7.08 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.82 Typical High $3.72 | Professional | 53 · Discontinued | $2.24 | $2.82 | $3.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $7.08 Typical High $8.91 | Professional | 52 · Reduced service | $5.62 | $7.08 | $8.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.82 Typical High $3.63 | Professional | 53 · Discontinued | $2.24 | $2.82 | $3.63 |
Where Texas sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 40th of 51
$19.05
WI $39.81NC $17.38
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.