How much rates vary
Facilitymedian $2,138 · 10th to 90th $490 to $10,471Professionalmedian $1,995 · 10th to 90th $1,514 to $12,303
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 $1,548.82 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,698.24 | $1,995.26 |
BCBS Texas Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $1,288.25 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,862.09 | $2,089.30 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $12,302.69 Typical High $12,302.69 | Professional | None | $10,715.19 | $12,302.69 | $12,302.69 |
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 $1,548.82 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,548.82 | $1,698.24 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,737.80 | Professional | None | $1,659.59 | $1,659.59 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $2,238.72 Typical High $251,188.64 | Facility | None | $758.58 | $2,238.72 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,862.09 | $2,137.96 |
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 $1,148.15 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,621.81 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $758.58 Median $831.76 Typical High $933.25 | Professional | 52 · Reduced service | $758.58 | $831.76 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $338.84 Typical High $371.54 | Professional | 53 · Discontinued | $309.03 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,258.93 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,148.15 | $1,258.93 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $251.19 Typical High $281.84 | Professional | 55 · Aftercare only | $229.09 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $169.82 Typical High $186.21 | Professional | 56 · Pre-op care only | $154.88 | $169.82 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $831.76 Typical High $933.25 | Professional | 52 · Reduced service | $758.58 | $831.76 | $933.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $338.84 Typical High $371.54 | Professional | 53 · Discontinued | $309.03 | $338.84 | $371.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,258.93 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,148.15 | $1,258.93 | $1,412.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $251.19 Typical High $281.84 | Professional | 55 · Aftercare only | $229.09 | $251.19 | $281.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $169.82 Typical High $186.21 | Professional | 56 · Pre-op care only | $154.88 | $169.82 | $186.21 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Arkansas. 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· 22nd of 51
$2,042
AK $6,166AR $1,318
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.