How much rates vary
Facilitymedian $1,549 · 10th to 90th $631 to $4,571Professionalmedian $363 · 10th to 90th $234 to $2,818
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 $660.69 Median $2,398.83 Typical High $6,918.31 | Facility | None | $660.69 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $309.03 | Professional | None | $281.84 | $295.12 | $309.03 |
BCBS Texas Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $3,890.45 | Facility | None | $812.83 | $1,513.56 | $3,890.45 |
BCBS Texas Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Christus Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,174.90 Typical High $3,801.89 | Facility | None | $794.33 | $1,174.90 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,290.87 | $2,818.38 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $1,778.28 Typical High $5,495.41 | Facility | None | $309.03 | $1,778.28 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $309.03 | Professional | None | $281.84 | $295.12 | $309.03 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $1,230.27 Typical High $7,762.47 | Facility | None | $416.87 | $1,230.27 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $213.80 Median $549.54 Typical High $1,584.89 | Professional | None | $213.80 | $549.54 | $1,584.89 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $467.74 | Professional | None | $234.42 | $316.23 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
8 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 $141.25 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $43.65 Typical High $45.71 | Professional | 55 · Aftercare only | $42.66 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $29.51 Typical High $30.90 | Professional | 56 · Pre-op care only | $28.18 | $29.51 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $147.91 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $58.88 | $61.66 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $43.65 Typical High $45.71 | Professional | 55 · Aftercare only | $42.66 | $43.65 | $45.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $29.51 Typical High $30.90 | Professional | 56 · Pre-op care only | $28.18 | $29.51 | $30.90 |
Where Texas sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 12th of 51
$468
AK $1,122KY $158
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.