How much rates vary
Facilitymedian $257 · 10th to 90th $50 to $2,042Professionalmedian $52 · 10th to 90th $12 to $83
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 $28.84 Median $32.36 Typical High $52.48 | Facility | None | $28.84 | $32.36 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $56.23 | Professional | None | $26.30 | $46.77 | $56.23 |
BCBS Texas Setting Professional Modifier None Typical Low $28.18 Median $48.98 Typical High $70.79 | Professional | None | $28.18 | $48.98 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $912.01 | Facility | None | $50.12 | $66.07 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $52.48 Typical High $72.44 | Professional | None | $33.11 | $52.48 | $72.44 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $51.29 Typical High $85.11 | Facility | None | $26.30 | $51.29 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $58.88 | Professional | None | $28.18 | $46.77 | $58.88 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $54.95 Typical High $74.13 | Professional | None | $10.00 | $54.95 | $74.13 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $58.88 Typical High $389.05 | Facility | None | $28.84 | $58.88 | $389.05 |
Providence Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $72.44 | Professional | None | $33.11 | $50.12 | $72.44 |
United Setting Facility Modifier None Typical Low $138.04 Median $741.31 Typical High $2,187.76 | Facility | None | $138.04 | $741.31 | $2,187.76 |
United Setting Professional Modifier None Typical Low $26.92 Median $44.67 Typical High $67.61 | Professional | None | $26.92 | $44.67 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $13.18 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $13.18 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $5.25 | $9.33 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $7.08 Typical High $8.71 | Professional | 55 · Aftercare only | $3.89 | $7.08 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.68 Typical High $5.75 | Professional | 56 · Pre-op care only | $2.63 | $4.68 | $5.75 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $13.18 | $23.44 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $9.33 Typical High $11.22 | Professional | 53 · Discontinued | $5.25 | $9.33 | $11.22 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $7.08 Typical High $8.51 | Professional | 55 · Aftercare only | $3.89 | $7.08 | $8.51 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.68 Typical High $5.62 | Professional | 56 · Pre-op care only | $2.63 | $4.68 | $5.62 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in Virginia. 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· 34th of 51
$52.48
AK $141VA $38.90
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.