How much rates vary
Facilitymedian $1,905 · 10th to 90th $437 to $10,471Professionalmedian $479 · 10th to 90th $316 to $7,244
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 $724.44 Median $3,715.35 Typical High $9,120.11 | Facility | None | $724.44 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $446.68 | Professional | None | $323.59 | $363.08 | $446.68 |
BCBS Texas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $489.78 | Professional | None | $309.03 | $457.09 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $1,995.26 Typical High $6,918.31 | Facility | None | $436.52 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $416.87 | Professional | None | $323.59 | $363.08 | $416.87 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $416.87 | Professional | None | $58.88 | $67.61 | $416.87 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $251,188.64 | Facility | None | $512.86 | $1,479.11 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $501.19 | Professional | None | $309.03 | $457.09 | $501.19 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $537.03 | Professional | None | $263.03 | $354.81 | $537.03 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
6 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 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $36.31 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $36.31 | $39.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $295.12 | Professional | 54 · Surgery only | $245.47 | $269.15 | $295.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $58.88 | Professional | 55 · Aftercare only | $48.98 | $53.70 | $58.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $36.31 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $36.31 | $39.81 |
Where Texas sits
The same service costs 9.8 times more in Indiana than in Hawaii. 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· 7th of 51
$891
IN $2,344HI $240
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.