How much rates vary
Facilitymedian $1,820 · 10th to 90th $162 to $4,467Professionalmedian $129 · 10th to 90th $25 to $269
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 $575.44 Median $2,238.72 Typical High $6,918.31 | Facility | None | $575.44 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $169.82 | Professional | None | $57.54 | $125.89 | $169.82 |
BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $4,073.80 Typical High $4,168.69 | Facility | None | $1,318.26 | $4,073.80 | $4,168.69 |
BCBS Setting Professional Modifier None Typical Low $70.79 Median $131.83 Typical High $251.19 | Professional | None | $70.79 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $234.42 | Professional | None | $79.43 | $154.88 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $1,698.24 Typical High $5,248.07 | Facility | None | $107.15 | $1,698.24 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $169.82 | Professional | None | $57.54 | $125.89 | $169.82 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $114.82 Typical High $144.54 | Professional | None | $19.95 | $114.82 | $144.54 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $251.19 | Facility | None | $66.07 | $147.91 | $251.19 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $234.42 | Professional | None | $79.43 | $154.88 | $234.42 |
United Setting Facility Modifier None Typical Low $177.83 Median $1,348.96 Typical High $2,691.53 | Facility | None | $177.83 | $1,348.96 | $2,691.53 |
United Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $229.09 | Professional | None | $69.18 | $128.82 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
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 $28.18 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $28.18 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $25.12 Typical High $33.11 | Professional | 53 · Discontinued | $11.48 | $25.12 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $93.33 Typical High $123.03 | Professional | 54 · Surgery only | $42.66 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $18.62 Typical High $24.55 | Professional | 55 · Aftercare only | $8.51 | $18.62 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $12.59 Typical High $16.60 | Professional | 56 · Pre-op care only | $5.75 | $12.59 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $28.18 | $61.66 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $25.12 Typical High $33.11 | Professional | 53 · Discontinued | $11.48 | $25.12 | $33.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $93.33 Typical High $123.03 | Professional | 54 · Surgery only | $42.66 | $93.33 | $123.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $18.62 Typical High $24.55 | Professional | 55 · Aftercare only | $8.51 | $18.62 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $12.59 Typical High $16.60 | Professional | 56 · Pre-op care only | $5.75 | $12.59 | $16.60 |
Where Texas sits
The same service costs 2.6 times more in Wisconsin than in Florida. 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· 46th of 51
$129
WI $309FL $120
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.