How much rates vary
Facilitymedian $107 · 10th to 90th $48 to $1,445Professionalmedian $78 · 10th to 90th $20 to $186
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 $48.98 Median $63.10 Typical High $79.43 | Facility | None | $48.98 | $63.10 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $97.72 | Professional | None | $44.67 | $69.18 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | None | $74.13 | $74.13 | $85.11 |
BCBS Texas Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $416.87 | Facility | None | $45.71 | $64.57 | $416.87 |
BCBS Texas Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $117.49 | Professional | None | $50.12 | $70.79 | $117.49 |
Christus Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $114.82 | Facility | None | $50.12 | $66.07 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $112.20 | Professional | None | $57.54 | $81.28 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $426.58 | Facility | None | $50.12 | $79.43 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $97.72 | Professional | None | $44.67 | $69.18 | $97.72 |
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 $69.18 Median $181.97 Typical High $295.12 | Professional | None | $69.18 | $181.97 | $295.12 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $114.82 | Facility | None | $50.12 | $69.18 | $114.82 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $112.20 | Professional | None | $57.54 | $79.43 | $112.20 |
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 $45.71 Median $69.18 Typical High $107.15 | Professional | None | $45.71 | $69.18 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
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 $22.39 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $22.39 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $9.12 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $9.55 Typical High $12.02 | Professional | 55 · Aftercare only | $6.76 | $9.55 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.31 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.47 | $6.31 | $7.94 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $31.62 Typical High $38.90 | Professional | 52 · Reduced service | $22.39 | $31.62 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $9.12 | $12.59 | $15.85 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $9.55 Typical High $11.75 | Professional | 55 · Aftercare only | $6.76 | $9.55 | $11.75 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.31 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.47 | $6.31 | $7.94 |
Where Texas sits
The same service costs 3.5 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
$79.43
AK $219FL $63.10
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.