How much rates vary
Facilitymedian $162 · 10th to 90th $78 to $1,950Professionalmedian $117 · 10th to 90th $23 to $912
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 $75.86 Median $85.11 Typical High $114.82 | Facility | None | $75.86 | $85.11 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $128.82 | Professional | None | $67.61 | $102.33 | $128.82 |
BCBS Texas Setting Facility Modifier None Typical Low $52.48 Median $151.36 Typical High $870.96 | Facility | None | $52.48 | $151.36 | $870.96 |
BCBS Texas Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $194.98 | Professional | None | $77.62 | $120.23 | $194.98 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $151.36 | Facility | None | $66.07 | $104.71 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $165.96 | Professional | None | $89.13 | $120.23 | $165.96 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | None | $912.01 | $912.01 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $173.78 | Facility | None | $70.79 | $112.20 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $128.82 | Professional | None | $67.61 | $102.33 | $128.82 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $109.65 Typical High $147.91 | Professional | None | $19.95 | $109.65 | $147.91 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $165.96 | Facility | None | $66.07 | $109.65 | $165.96 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $165.96 | Professional | None | $87.10 | $120.23 | $165.96 |
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 $69.18 Median $100.00 Typical High $151.36 | Professional | None | $69.18 | $100.00 | $151.36 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
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 $33.88 Median $50.12 Typical High $64.57 | Professional | 52 · Reduced service | $33.88 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $20.42 Typical High $25.70 | Professional | 53 · Discontinued | $13.49 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $15.14 Typical High $19.05 | Professional | 55 · Aftercare only | $10.23 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $10.23 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.76 | $10.23 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $33.88 | $50.12 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $20.42 Typical High $24.55 | Professional | 53 · Discontinued | $13.49 | $20.42 | $24.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $15.14 Typical High $18.62 | Professional | 55 · Aftercare only | $10.23 | $15.14 | $18.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $10.23 Typical High $12.30 | Professional | 56 · Pre-op care only | $6.76 | $10.23 | $12.30 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 37th of 51
$120
AK $339MD $95.50
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.