How much rates vary
Facilitymedian $490 · 10th to 90th $166 to $3,631Professionalmedian $51 · 10th to 90th $7 to $501
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 $645.65 Median $2,398.83 Typical High $6,918.31 | Facility | None | $645.65 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $70.79 | Professional | None | $51.29 | $57.54 | $70.79 |
BCBS Texas Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $1,995.26 | Facility | None | $186.21 | $331.13 | $1,995.26 |
Christus Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $1,412.54 | Facility | None | $245.47 | $338.84 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $85.11 | Professional | None | $41.69 | $60.26 | $85.11 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $1,258.93 Typical High $5,128.61 | Facility | None | $60.26 | $1,258.93 | $5,128.61 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $66.07 | Professional | None | $51.29 | $57.54 | $66.07 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $27.54 Typical High $37.15 | Professional | None | $5.01 | $27.54 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | None | $69.18 | $69.18 | $72.44 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $407.38 Typical High $3,801.89 | Facility | None | $223.87 | $407.38 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $83.18 | Professional | None | $40.74 | $60.26 | $83.18 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $79.43 | Professional | None | $39.81 | $53.70 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $25.70 Median $28.84 Typical High $33.11 | Professional | 52 · Reduced service | $25.70 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $10.23 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $42.66 Typical High $50.12 | Professional | 54 · Surgery only | $38.90 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.51 Typical High $10.00 | Professional | 55 · Aftercare only | $7.76 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.75 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.13 | $5.75 | $6.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $28.84 Typical High $33.11 | Professional | 52 · Reduced service | $25.70 | $28.84 | $33.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $10.23 | $11.48 | $13.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $42.66 Typical High $50.12 | Professional | 54 · Surgery only | $38.90 | $42.66 | $50.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.51 Typical High $10.00 | Professional | 55 · Aftercare only | $7.76 | $8.51 | $10.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.75 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.13 | $5.75 | $6.61 |
Where Texas sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 48th of 51
$52.48
AK $200FL $47.86
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.