How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,630 to $11,482Professionalmedian $2,138 · 10th to 90th $174 to $17,378
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 $1,148.15 Median $3,981.07 Typical High $10,964.78 | Facility | None | $1,148.15 | $3,981.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $2,454.71 Typical High $3,388.44 | Professional | None | $165.96 | $2,454.71 | $3,388.44 |
BCBS Texas Setting Facility Modifier None Typical Low $3,801.89 Median $6,309.57 Typical High $13,489.63 | Facility | None | $3,801.89 | $6,309.57 | $13,489.63 |
BCBS Texas Setting Professional Modifier None Typical Low $158.49 Median $2,089.30 Typical High $3,630.78 | Professional | None | $158.49 | $2,089.30 | $3,630.78 |
Christus Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,128.61 Typical High $6,760.83 | Facility | None | $758.58 | $5,128.61 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $3,981.07 | Professional | None | $173.78 | $407.38 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $17,378.01 Median $20,892.96 Typical High $20,892.96 | Professional | None | $17,378.01 | $20,892.96 | $20,892.96 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $2,754.23 Typical High $7,943.28 | Facility | None | $190.55 | $2,754.23 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $2,344.23 Typical High $3,388.44 | Professional | None | $165.96 | $2,344.23 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $1,905.46 Typical High $2,630.27 | Professional | None | $346.74 | $1,905.46 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $5,495.41 Typical High $11,220.18 | Facility | None | $588.84 | $5,495.41 | $11,220.18 |
Providence Setting Professional Modifier None Typical Low $173.78 Median $436.52 Typical High $3,981.07 | Professional | None | $173.78 | $436.52 | $3,981.07 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $151.36 Median $1,584.89 Typical High $4,466.84 | Professional | None | $151.36 | $1,584.89 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
10 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 $83.18 Median $346.74 Typical High $1,548.82 | Professional | 52 · Reduced service | $83.18 | $346.74 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $141.25 Typical High $616.60 | Professional | 53 · Discontinued | $33.11 | $141.25 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $524.81 Typical High $2,290.87 | Professional | 54 · Surgery only | $125.89 | $524.81 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $104.71 Typical High $467.74 | Professional | 55 · Aftercare only | $25.12 | $104.71 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $69.18 Typical High $309.03 | Professional | 56 · Pre-op care only | $16.60 | $69.18 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $346.74 Typical High $1,548.82 | Professional | 52 · Reduced service | $83.18 | $346.74 | $1,548.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $141.25 Typical High $616.60 | Professional | 53 · Discontinued | $33.11 | $141.25 | $616.60 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $524.81 Typical High $2,290.87 | Professional | 54 · Surgery only | $125.89 | $524.81 | $2,290.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $104.71 Typical High $467.74 | Professional | 55 · Aftercare only | $25.12 | $104.71 | $467.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $69.18 Typical High $309.03 | Professional | 56 · Pre-op care only | $16.60 | $69.18 | $309.03 |
Where Texas sits
The same service costs 33.1 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· 24th of 51
$2,570
AK $5,495KY $166
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.