How much rates vary
Facilitymedian $2,188 · 10th to 90th $468 to $6,918Professionalmedian $2,344 · 10th to 90th $1,445 to $13,804
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 $1,122.02 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,862.09 | $2,238.72 |
BCBS Texas Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,479.11 Typical High $2,691.53 | Facility | None | $537.03 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,513.56 | $1,995.26 | $2,344.23 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $13,803.84 Typical High $13,803.84 | Professional | None | $12,302.69 | $13,803.84 | $13,803.84 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $6,918.31 | Facility | None | $977.24 | $2,511.89 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,862.09 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $2,691.53 | Facility | None | $588.84 | $1,584.89 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,513.56 | $1,995.26 | $2,344.23 |
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 $1,023.29 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,445.44 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $851.14 Median $933.25 Typical High $1,023.29 | Professional | 52 · Reduced service | $851.14 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $371.54 Typical High $416.87 | Professional | 53 · Discontinued | $338.84 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,380.38 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,258.93 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $251.19 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $186.21 Typical High $208.93 | Professional | 56 · Pre-op care only | $169.82 | $186.21 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $933.25 Typical High $1,023.29 | Professional | 52 · Reduced service | $851.14 | $933.25 | $1,023.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $371.54 Typical High $416.87 | Professional | 53 · Discontinued | $338.84 | $371.54 | $416.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,380.38 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,258.93 | $1,380.38 | $1,548.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $251.19 | $275.42 | $309.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $186.21 Typical High $208.93 | Professional | 56 · Pre-op care only | $169.82 | $186.21 | $208.93 |
Where Texas sits
The same service costs 5.2 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· 20th of 51
$2,344
AK $7,244MD $1,380
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.