How much rates vary
Facilitymedian $2,512 · 10th to 90th $589 to $7,586Professionalmedian $245 · 10th to 90th $47 to $2,138
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 $724.44 Median $3,311.31 Typical High $8,709.64 | Facility | None | $724.44 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $281.84 | Professional | None | $107.15 | $213.80 | $281.84 |
BCBS Texas Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $446.68 | Professional | None | $134.90 | $245.47 | $446.68 |
Christus Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,995.26 Typical High $2,691.53 | Facility | None | $758.58 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $389.05 | Professional | None | $151.36 | $269.15 | $389.05 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,137.96 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $1,258.93 Typical High $5,495.41 | Facility | None | $144.54 | $1,258.93 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $281.84 | Professional | None | $107.15 | $213.80 | $281.84 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $213.80 Typical High $288.40 | Professional | None | $38.90 | $213.80 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $1,096.48 | Professional | None | $457.09 | $489.78 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $1,905.46 Typical High $2,691.53 | Facility | None | $208.93 | $1,905.46 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $389.05 | Professional | None | $151.36 | $269.15 | $389.05 |
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 $120.23 Median $218.78 Typical High $354.81 | Professional | None | $120.23 | $218.78 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
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 $53.70 Median $102.33 Typical High $134.90 | Professional | 52 · Reduced service | $53.70 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $41.69 Typical High $53.70 | Professional | 53 · Discontinued | $21.38 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $154.88 Typical High $204.17 | Professional | 54 · Surgery only | $79.43 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $30.90 Typical High $40.74 | Professional | 55 · Aftercare only | $15.85 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $20.89 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.72 | $20.89 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $102.33 Typical High $131.83 | Professional | 52 · Reduced service | $53.70 | $102.33 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $41.69 Typical High $52.48 | Professional | 53 · Discontinued | $21.38 | $41.69 | $52.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $154.88 Typical High $199.53 | Professional | 54 · Surgery only | $79.43 | $154.88 | $199.53 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $30.90 Typical High $39.81 | Professional | 55 · Aftercare only | $15.85 | $30.90 | $39.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $20.89 Typical High $26.30 | Professional | 56 · Pre-op care only | $10.72 | $20.89 | $26.30 |
Where Texas sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 41st of 51
$263
AK $955HI $166
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.