How much rates vary
Facilitymedian $166 · 10th to 90th $66 to $1,585Professionalmedian $91 · 10th to 90th $19 to $339
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 $61.66 Median $87.10 Typical High $102.33 | Facility | None | $61.66 | $87.10 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $104.71 | Professional | None | $56.23 | $81.28 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $120.23 | Professional | None | $58.88 | $83.18 | $120.23 |
BCBS Texas Setting Facility Modifier None Typical Low $60.26 Median $97.72 Typical High $562.34 | Facility | None | $60.26 | $97.72 | $562.34 |
BCBS Texas Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $158.49 | Professional | None | $64.57 | $95.50 | $158.49 |
Baylor Scott & White Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $173.78 | Professional | None | $104.71 | $123.03 | $173.78 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $147.91 | Facility | None | $66.07 | $93.33 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | None | $72.44 | $100.00 | $131.83 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None | $724.44 | $724.44 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $758.58 | Facility | None | $61.66 | $107.15 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $123.03 | Professional | None | $56.23 | $81.28 | $123.03 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $83.18 Typical High $109.65 | Professional | None | $14.79 | $83.18 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $407.38 | Professional | None | $229.09 | $245.47 | $407.38 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $141.25 | Facility | None | $64.57 | $95.50 | $141.25 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | None | $72.44 | $100.00 | $131.83 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $123.03 | Professional | None | $56.23 | $81.28 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $28.18 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $28.18 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $11.22 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $12.02 Typical High $15.14 | Professional | 55 · Aftercare only | $8.51 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.13 Typical High $10.23 | Professional | 56 · Pre-op care only | $5.62 | $8.13 | $10.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $28.18 | $40.74 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $16.22 Typical High $19.50 | Professional | 53 · Discontinued | $11.22 | $16.22 | $19.50 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $12.02 Typical High $14.79 | Professional | 55 · Aftercare only | $8.51 | $12.02 | $14.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.13 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.62 | $8.13 | $9.77 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$91.20
AK $275KY $75.86
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.