How much rates vary
Facilitymedian $155 · 10th to 90th $68 to $1,950Professionalmedian $98 · 10th to 90th $18 to $776
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 $70.79 Median $79.43 Typical High $100.00 | Facility | None | $70.79 | $79.43 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $112.20 | Professional | None | $63.10 | $89.13 | $112.20 |
BCBS Texas Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $138.04 | Professional | None | $70.79 | $100.00 | $138.04 |
Christus Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $134.90 | Facility | None | $64.57 | $85.11 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $144.54 | Professional | None | $77.62 | $109.65 | $144.54 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None | $776.25 | $776.25 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $154.88 | Facility | None | $64.57 | $102.33 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $112.20 | Professional | None | $63.10 | $89.13 | $112.20 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $83.18 Typical High $109.65 | Professional | None | $14.79 | $83.18 | $109.65 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $147.91 | Facility | None | $66.07 | $91.20 | $147.91 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $144.54 | Professional | None | $77.62 | $109.65 | $144.54 |
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 $63.10 Median $89.13 Typical High $134.90 | Professional | None | $63.10 | $89.13 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
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 $31.62 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $31.62 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $12.59 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $13.18 Typical High $16.98 | Professional | 55 · Aftercare only | $9.55 | $13.18 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.91 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.31 | $8.91 | $11.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $31.62 | $44.67 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $17.78 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $17.78 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $13.18 Typical High $16.22 | Professional | 55 · Aftercare only | $9.55 | $13.18 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.91 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.31 | $8.91 | $10.72 |
Where Texas sits
The same service costs 3.8 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· 39th of 51
$97.72
AK $309FL $81.28
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.