How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,230 to $7,762Professionalmedian $11,482 · 10th to 90th $1,514 to $14,125
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 $1,230.27 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,230.27 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $3,801.89 | Professional | None | $1,905.46 | $1,995.26 | $3,801.89 |
Christus Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $3,548.13 | Facility | None | $758.58 | $2,691.53 | $3,548.13 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $14,125.38 Typical High $14,125.38 | Professional | None | $11,481.54 | $14,125.38 | $14,125.38 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,511.89 Typical High $6,025.60 | Facility | None | $707.95 | $2,511.89 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,905.46 | $1,995.26 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $2,691.53 Typical High $3,548.13 | Facility | None | $630.96 | $2,691.53 | $3,548.13 |
Providence Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,513.56 | $2,137.96 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $954.99 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $954.99 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $380.19 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,479.11 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,412.54 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $295.12 Typical High $309.03 | Professional | 55 · Aftercare only | $288.40 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $199.53 Typical High $204.17 | Professional | 56 · Pre-op care only | $190.55 | $199.53 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $954.99 | $1,000.00 | $1,023.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $380.19 | $398.11 | $416.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,479.11 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,412.54 | $1,479.11 | $1,548.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $295.12 Typical High $309.03 | Professional | 55 · Aftercare only | $288.40 | $295.12 | $309.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $199.53 Typical High $204.17 | Professional | 56 · Pre-op care only | $190.55 | $199.53 | $204.17 |
Where Texas sits
The same service costs 15.8 times more in Wisconsin than in Nebraska. 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· 5th of 51
$3,388
WI $6,026NE $380
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.