How much rates vary
Facilitymedian $141 · 10th to 90th $66 to $2,570Professionalmedian $141 · 10th to 90th $31 to $234
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 $169.82 Median $2,137.96 Typical High $6,760.83 | Facility | None | $169.82 | $2,137.96 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $199.53 | Professional | None | $69.18 | $141.25 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $165.96 Typical High $169.82 | Professional | None | $69.18 | $165.96 | $169.82 |
BCBS Texas Setting Facility Modifier None Typical Low $60.26 Median $107.15 Typical High $724.44 | Facility | None | $60.26 | $107.15 | $724.44 |
BCBS Texas Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $245.47 | Professional | None | $67.61 | $134.90 | $245.47 |
Baylor Scott & White Setting Professional Modifier None Typical Low $72.44 Median $169.82 Typical High $229.09 | Professional | None | $72.44 | $169.82 | $229.09 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $812.83 | Facility | None | $50.12 | $66.07 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $218.78 | Professional | None | $87.10 | $141.25 | $218.78 |
Lucent Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $1,819.70 Typical High $4,786.30 | Facility | None | $125.89 | $1,819.70 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $199.53 | Professional | None | $69.18 | $141.25 | $199.53 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $138.04 Typical High $181.97 | Professional | None | $24.55 | $138.04 | $181.97 |
Oscar Health Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $2,630.27 | Facility | None | $338.84 | $389.05 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $436.52 | Facility | None | $56.23 | $114.82 | $436.52 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $218.78 | Professional | None | $87.10 | $141.25 | $218.78 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,884.03 | Facility | None | $141.25 | $741.31 | $2,884.03 |
United Setting Professional Modifier None Typical Low $64.57 Median $125.89 Typical High $223.87 | Professional | None | $64.57 | $125.89 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
13 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 $34.67 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $34.67 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $28.18 Typical High $34.67 | Professional | 53 · Discontinued | $13.80 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $104.71 Typical High $128.82 | Professional | 54 · Surgery only | $52.48 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $21.38 Typical High $25.70 | Professional | 55 · Aftercare only | $10.47 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $14.13 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.92 | $14.13 | $16.98 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $239.88 Typical High $269.15 | Professional | 50 · Both sides | $109.65 | $239.88 | $269.15 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $1,412.54 Median $2,290.87 Typical High $3,715.35 | Facility | 50 · Both sides | $1,412.54 | $2,290.87 | $3,715.35 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $269.15 Typical High $501.19 | Professional | 50 · Both sides | $117.49 | $269.15 | $501.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $34.67 | $70.79 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $13.80 | $28.18 | $33.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $104.71 Typical High $125.89 | Professional | 54 · Surgery only | $52.48 | $104.71 | $125.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $21.38 Typical High $25.12 | Professional | 55 · Aftercare only | $10.47 | $21.38 | $25.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $14.13 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.92 | $14.13 | $16.98 |
Where Texas sits
The same service costs 3.9 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· 43rd of 51
$141
AK $417VA $107
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.