How much rates vary
Facilitymedian $2,138 · 10th to 90th $490 to $10,471Professionalmedian $2,754 · 10th to 90th $1,778 to $14,791
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 $1,862.09 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,041.74 | $2,398.83 |
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 $1,548.82 Median $2,238.72 Typical High $2,511.89 | Professional | None | $1,548.82 | $2,238.72 | $2,511.89 |
Lucent Health Setting Professional Modifier None Typical Low $12,882.50 Median $14,791.08 Typical High $14,791.08 | Professional | None | $12,882.50 | $14,791.08 | $14,791.08 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,090.30 Typical High $6,918.31 | Facility | None | $977.24 | $3,090.30 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,344.23 | Professional | None | $1,862.09 | $2,041.74 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,995.26 | $1,995.26 | $2,089.30 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $2,398.83 Typical High $251,188.64 | Facility | None | $758.58 | $2,398.83 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $2,570.40 | Professional | None | $1,548.82 | $2,238.72 | $2,570.40 |
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 $1,348.96 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,348.96 | $1,949.84 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
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 $912.01 Median $1,000.00 Typical High $1,122.02 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $407.38 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,513.56 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,380.38 | $1,513.56 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $302.00 Typical High $338.84 | Professional | 55 · Aftercare only | $275.42 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $204.17 Typical High $223.87 | Professional | 56 · Pre-op care only | $186.21 | $204.17 | $223.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,000.00 Typical High $1,122.02 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,122.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $407.38 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $407.38 | $446.68 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,513.56 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,380.38 | $1,513.56 | $1,698.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $302.00 Typical High $338.84 | Professional | 55 · Aftercare only | $275.42 | $302.00 | $338.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $204.17 Typical High $223.87 | Professional | 56 · Pre-op care only | $186.21 | $204.17 | $223.87 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in South Carolina. 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
$2,692
AK $7,413SC $1,585
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.