How much rates vary
Facilitymedian $141 · 10th to 90th $79 to $1,820Professionalmedian $132 · 10th to 90th $25 to $427
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 $97.72 Median $109.65 Typical High $134.90 | Facility | None | $97.72 | $109.65 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $151.36 | Professional | None | $87.10 | $117.49 | $151.36 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $758.58 | Facility | None | $79.43 | $117.49 | $758.58 |
BCBS Texas Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $218.78 | Professional | None | $97.72 | $134.90 | $218.78 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
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 $114.82 Median $151.36 Typical High $199.53 | Professional | None | $114.82 | $151.36 | $199.53 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,047.13 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $204.17 | Facility | None | $93.33 | $141.25 | $204.17 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $151.36 | Professional | None | $87.10 | $117.49 | $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 $128.82 Median $338.84 Typical High $562.34 | Professional | None | $128.82 | $338.84 | $562.34 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $194.98 | Facility | None | $66.07 | $125.89 | $194.98 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $194.98 | Professional | None | $109.65 | $151.36 | $194.98 |
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 $89.13 Median $123.03 Typical High $186.21 | Professional | None | $89.13 | $123.03 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
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 $43.65 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $43.65 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.44 Typical High $30.20 | Professional | 53 · Discontinued | $17.38 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $17.78 Typical High $22.39 | Professional | 55 · Aftercare only | $13.18 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.75 Typical High $15.14 | Professional | 56 · Pre-op care only | $8.71 | $11.75 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $43.65 | $58.88 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $17.38 | $23.44 | $28.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $17.78 Typical High $21.38 | Professional | 55 · Aftercare only | $13.18 | $17.78 | $21.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $8.71 | $11.75 | $14.45 |
Where Texas sits
The same service costs 4.0 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· 40th of 51
$132
AK $437FL $110
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.