How much rates vary
Facilitymedian $302 · 10th to 90th $87 to $2,399Professionalmedian $126 · 10th to 90th $26 to $355
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 $467.74 Median $2,187.76 Typical High $6,918.31 | Facility | None | $467.74 | $2,187.76 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $144.54 | Professional | None | $81.28 | $112.20 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $144.54 Typical High $144.54 | Professional | None | $89.13 | $144.54 | $144.54 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $724.44 | Facility | None | $79.43 | $128.82 | $724.44 |
BCBS Texas Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $213.80 | Professional | None | $91.20 | $128.82 | $213.80 |
Christus Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $169.82 | Facility | None | $66.07 | $117.49 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $190.55 | Professional | None | $107.15 | $144.54 | $190.55 |
Lucent Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,000.00 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $891.25 Typical High $4,365.16 | Facility | None | $107.15 | $891.25 | $4,365.16 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $151.36 | Professional | None | $81.28 | $112.20 | $151.36 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $109.65 Typical High $147.91 | Professional | None | $19.95 | $109.65 | $147.91 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $323.59 Typical High $549.54 | Professional | None | $123.03 | $323.59 | $549.54 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $186.21 | Facility | None | $66.07 | $123.03 | $186.21 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $186.21 | Professional | None | $104.71 | $144.54 | $186.21 |
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 $83.18 Median $117.49 Typical High $177.83 | Professional | None | $83.18 | $117.49 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
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 $40.74 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $40.74 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $28.84 | Professional | 53 · Discontinued | $16.60 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $21.38 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.22 Typical High $14.45 | Professional | 56 · Pre-op care only | $8.13 | $11.22 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $56.23 Typical High $69.18 | Professional | 52 · Reduced service | $40.74 | $56.23 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $16.60 | $22.39 | $27.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $20.89 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $20.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.22 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.13 | $11.22 | $13.80 |
Where Texas sits
The same service costs 3.7 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· 38th of 51
$129
AK $398FL $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.