How much rates vary
Facilitymedian $1,905 · 10th to 90th $490 to $10,471Professionalmedian $891 · 10th to 90th $132 to $6,607
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 $912.01 Median $3,715.35 Typical High $9,120.11 | Facility | None | $912.01 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,122.02 | Professional | None | $794.33 | $891.25 | $1,122.02 |
BCBS Texas Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,288.25 | Professional | None | $724.44 | $933.25 | $1,288.25 |
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 $758.58 Median $1,023.29 Typical High $1,479.11 | Professional | None | $758.58 | $1,023.29 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $5,623.41 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,623.41 | $6,606.93 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $6,918.31 | Facility | None | $741.31 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,148.15 | Professional | None | $794.33 | $912.01 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $616.60 Typical High $831.76 | Professional | None | $112.20 | $616.60 | $831.76 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $251,188.64 | Facility | None | $741.31 | $1,479.11 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,479.11 | Professional | None | $758.58 | $1,023.29 | $1,479.11 |
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 $660.69 Median $954.99 Typical High $1,513.56 | Professional | None | $660.69 | $954.99 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
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 $398.11 Median $446.68 Typical High $501.19 | Professional | 52 · Reduced service | $398.11 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $177.83 Typical High $199.53 | Professional | 53 · Discontinued | $158.49 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 54 · Surgery only | $602.56 | $660.69 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $151.36 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $89.13 Typical High $100.00 | Professional | 56 · Pre-op care only | $79.43 | $89.13 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | 52 · Reduced service | $398.11 | $446.68 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $177.83 Typical High $199.53 | Professional | 53 · Discontinued | $158.49 | $177.83 | $199.53 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 54 · Surgery only | $602.56 | $660.69 | $758.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $151.36 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $151.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $89.13 Typical High $100.00 | Professional | 56 · Pre-op care only | $79.43 | $89.13 | $100.00 |
Where Texas sits
The same service costs 4.3 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· 47th of 51
$933
AK $3,236KY $759
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.