How much rates vary
Facilitymedian $912 · 10th to 90th $339 to $3,802Professionalmedian $129 · 10th to 90th $23 to $933
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 $144.54 Median $3,715.35 Typical High $9,120.11 | Facility | None | $144.54 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $147.91 | Professional | None | $91.20 | $120.23 | $147.91 |
BCBS Texas Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,754.23 | Facility | None | $602.56 | $1,096.48 | $2,754.23 |
BCBS Texas Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $190.55 | Professional | None | $85.11 | $120.23 | $190.55 |
Christus Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $1,412.54 | Facility | None | $338.84 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $208.93 | Professional | None | $95.50 | $138.04 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $707.95 Typical High $5,248.07 | Facility | None | $91.20 | $707.95 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $151.36 | Professional | None | $91.20 | $123.03 | $151.36 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $107.15 Typical High $144.54 | Professional | None | $19.50 | $107.15 | $144.54 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $3,801.89 | Facility | None | $141.25 | $478.63 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $208.93 | Professional | None | $95.50 | $141.25 | $208.93 |
United Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,090.30 | Facility | None | $389.05 | $1,230.27 | $3,090.30 |
United Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $186.21 | Professional | None | $81.28 | $120.23 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
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 $45.71 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $45.71 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $18.20 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $89.13 Typical High $107.15 | Professional | 54 · Surgery only | $67.61 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $17.78 Typical High $21.88 | Professional | 55 · Aftercare only | $13.80 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $45.71 | $58.88 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $18.20 | $23.44 | $28.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $89.13 Typical High $107.15 | Professional | 54 · Surgery only | $67.61 | $89.13 | $107.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $17.78 Typical High $21.88 | Professional | 55 · Aftercare only | $13.80 | $17.78 | $21.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $14.45 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 42nd of 51
$138
AK $447IN $126
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.