How much rates vary
Facilitymedian $148 · 10th to 90th $68 to $1,820Professionalmedian $135 · 10th to 90th $25 to $468
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 $104.71 Median $123.03 Typical High $154.88 | Facility | None | $104.71 | $123.03 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $154.88 | Professional | None | $95.50 | $123.03 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $144.54 | Professional | None | $72.44 | $81.28 | $144.54 |
BCBS Texas Setting Facility Modifier None Typical Low $63.10 Median $112.20 Typical High $776.25 | Facility | None | $63.10 | $112.20 | $776.25 |
BCBS Texas Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $218.78 | Professional | None | $102.33 | $138.04 | $218.78 |
Baylor Scott & White Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $165.96 | Professional | None | $97.72 | $112.20 | $165.96 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $141.25 | Facility | None | $66.07 | $89.13 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | None | $117.49 | $154.88 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,230.27 | Professional | None | $1,071.52 | $1,071.52 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $229.09 | Facility | None | $97.72 | $144.54 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $154.88 | Professional | None | $95.50 | $123.03 | $154.88 |
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 $134.90 Median $354.81 Typical High $537.03 | Professional | None | $134.90 | $354.81 | $537.03 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $173.78 | Facility | None | $66.07 | $97.72 | $173.78 |
Providence Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | None | $117.49 | $154.88 | $208.93 |
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 $93.33 Median $131.83 Typical High $199.53 | Professional | None | $93.33 | $131.83 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
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 $47.86 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $47.86 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $19.05 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $14.13 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.30 Typical High $15.49 | Professional | 56 · Pre-op care only | $9.55 | $12.30 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $47.86 | $61.66 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $19.05 | $24.55 | $29.51 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.20 Typical High $22.39 | Professional | 55 · Aftercare only | $14.13 | $18.20 | $22.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.30 Typical High $14.79 | Professional | 56 · Pre-op care only | $9.55 | $12.30 | $14.79 |
Where Texas sits
The same service costs 4.3 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· 44th of 51
$135
AK $457KY $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.