How much rates vary
Facilitymedian $91 · 10th to 90th $51 to $295Professionalmedian $52 · 10th to 90th $28 to $389
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 $51.29 Median $102.33 Typical High $363.08 | Facility | None | $51.29 | $102.33 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $51.29 | $51.29 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $23.99 | $25.70 | $25.70 |
BCBS Texas Setting Facility Modifier None Typical Low $51.29 Median $138.04 Typical High $295.12 | Facility | None | $51.29 | $138.04 | $295.12 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.90 Typical High $69.18 | Professional | None (both parts) | $28.18 | $30.90 | $69.18 |
Christus Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $91.20 Typical High $239.88 | Facility | None | $34.67 | $91.20 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $257.04 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $323.59 | $389.05 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $97.72 Typical High $588.84 | Facility | None | $48.98 | $97.72 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $51.29 | $51.29 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $42.66 | $42.66 | $50.12 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $1,698.24 Typical High $1,698.24 | Facility | None | $602.56 | $1,698.24 | $1,698.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $51.29 | $54.95 | $109.65 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $125.89 Typical High $239.88 | Facility | None | $40.74 | $125.89 | $239.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | None (both parts) | $51.29 | $67.61 | $89.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
United Setting Facility Modifier None Typical Low $18.62 Median $21.38 Typical High $51.29 | Facility | None | $18.62 | $21.38 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $51.29 | Professional | None (both parts) | $21.38 | $21.38 | $51.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
9 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 Facility Modifier 52 · Reduced service Typical Low $25.70 Median $54.95 Typical High $181.97 | Facility | 52 · Reduced service | $25.70 | $54.95 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $22.39 Typical High $72.44 | Facility | 53 · Discontinued | $10.23 | $22.39 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | QW · Waived lab test | $21.88 | $25.70 | $25.70 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $25.70 Median $61.66 Typical High $181.97 | Facility | 52 · Reduced service | $25.70 | $61.66 | $181.97 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $24.55 Typical High $72.44 | Facility | 53 · Discontinued | $10.23 | $24.55 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Where Texas sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 8th of 51
$63.10
AK $102ME $33.11
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.