How much rates vary
Facilitymedian $1,778 · 10th to 90th $204 to $9,772Professionalmedian $468 · 10th to 90th $331 to $4,169
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 $323.59 Median $354.81 Typical High $416.87 | Professional | None | $323.59 | $354.81 | $416.87 |
BCBS Texas Setting Facility Modifier None Typical Low $1,202.26 Median $2,691.53 Typical High $13,803.84 | Facility | None | $1,202.26 | $2,691.53 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,479.11 Typical High $2,691.53 | Facility | None | $537.03 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $602.56 | Professional | None | $354.81 | $436.52 | $602.56 |
Lucent Health Setting Professional Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,162.28 | $4,168.69 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,905.46 Typical High $5,623.41 | Facility | None | $457.09 | $1,905.46 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $407.38 | Professional | None | $323.59 | $354.81 | $407.38 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $2,691.53 | Facility | None | $446.68 | $758.58 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $588.84 | Professional | None | $354.81 | $436.52 | $588.84 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,454.71 | Facility | None | $141.25 | $741.31 | $2,454.71 |
United Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $588.84 | Professional | None | $302.00 | $398.11 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
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 $162.18 Median $177.83 Typical High $204.17 | Professional | 52 · Reduced service | $162.18 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $81.28 | Professional | 53 · Discontinued | $64.57 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $61.66 | Professional | 55 · Aftercare only | $48.98 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | 56 · Pre-op care only | $32.36 | $35.48 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 52 · Reduced service | $162.18 | $177.83 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $81.28 | Professional | 53 · Discontinued | $64.57 | $70.79 | $81.28 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $269.15 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $61.66 | Professional | 55 · Aftercare only | $48.98 | $53.70 | $61.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | 56 · Pre-op care only | $32.36 | $35.48 | $40.74 |
Where Texas sits
The same service costs 4.6 times more in Alaska 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· 21st of 51
$550
AK $1,585FL $347
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.