How much rates vary
Facilitymedian $15,136 · 10th to 90th $1,259 to $38,905Professionalmedian $2,630 · 10th to 90th $339 to $2,951
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 $1,122.02 Median $4,073.80 Typical High $10,964.78 | Facility | None | $1,122.02 | $4,073.80 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $5,754.40 | Professional | None | $338.84 | $354.81 | $5,754.40 |
Christus Setting Facility Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Facility | None | $23,988.33 | $23,988.33 | $23,988.33 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $22,387.21 Typical High $31,622.78 | Facility | None | $758.58 | $22,387.21 | $31,622.78 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,630.27 | $2,951.21 | $2,951.21 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $2,570.40 Typical High $8,511.38 | Facility | None | $371.54 | $2,570.40 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $398.11 | Professional | None | $338.84 | $354.81 | $398.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $22,387.21 Typical High $31,622.78 | Facility | None | $512.86 | $22,387.21 | $31,622.78 |
Providence Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $19,054.61 Typical High $64,565.42 | Facility | None | $6,025.60 | $19,054.61 | $64,565.42 |
United Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $630.96 | Professional | None | $281.84 | $416.87 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
10 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 $169.82 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $275.42 | Professional | 54 · Surgery only | $257.04 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.88 | $35.48 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $177.83 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $70.79 | $74.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $275.42 | Professional | 54 · Surgery only | $257.04 | $269.15 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.88 | $35.48 | $37.15 |
Where Texas sits
The same service costs 63.1 times more in Arkansas than in New York. 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· 15th of 51
$2,951
AR $18,621NY $295
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.