How much rates vary
Facilitymedian $1,905 · 10th to 90th $490 to $10,471Professionalmedian $813 · 10th to 90th $120 to $6,166
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 $870.96 Median $3,715.35 Typical High $9,120.11 | Facility | None | $870.96 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,047.13 | Professional | None | $741.31 | $831.76 | $1,047.13 |
BCBS Texas Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,412.54 | Professional | None | $691.83 | $870.96 | $1,412.54 |
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 $707.95 Median $954.99 Typical High $1,318.26 | Professional | None | $707.95 | $954.99 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $6,165.95 | Professional | None | $5,370.32 | $6,165.95 | $6,165.95 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $6,918.31 | Facility | None | $707.95 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,071.52 | Professional | None | $741.31 | $851.14 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $575.44 Typical High $776.25 | Professional | None | $102.33 | $575.44 | $776.25 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $1,479.11 Typical High $251,188.64 | Facility | None | $691.83 | $1,479.11 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,318.26 | Professional | None | $707.95 | $954.99 | $1,318.26 |
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 $616.60 Median $891.25 Typical High $1,348.96 | Professional | None | $616.60 | $891.25 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $371.54 Median $416.87 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $165.96 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $630.96 Typical High $707.95 | Professional | 54 · Surgery only | $562.34 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $83.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $83.18 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $416.87 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $416.87 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $165.96 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $165.96 | $190.55 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $630.96 Typical High $707.95 | Professional | 54 · Surgery only | $562.34 | $630.96 | $707.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $125.89 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $83.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $83.18 | $95.50 |
Where Texas sits
The same service costs 3.8 times more in Wisconsin than in New York. 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· 46th of 51
$871
WI $3,090NY $813
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.