How much rates vary
Facilitymedian $537 · 10th to 90th $178 to $3,631Professionalmedian $145 · 10th to 90th $23 to $251
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 $660.69 Median $2,398.83 Typical High $6,918.31 | Facility | None | $660.69 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $239.88 | Professional | None | $173.78 | $190.55 | $239.88 |
BCBS Texas Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $1,737.80 | Facility | None | $186.21 | $323.59 | $1,737.80 |
BCBS Texas Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $251.19 | Professional | None | $151.36 | $190.55 | $251.19 |
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 $131.83 Median $190.55 Typical High $239.88 | Professional | None | $131.83 | $190.55 | $239.88 |
Lucent Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $1,737.80 Typical High $5,495.41 | Facility | None | $169.82 | $1,737.80 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | None | $173.78 | $190.55 | $223.87 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $109.65 Typical High $144.54 | Professional | None | $19.95 | $109.65 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | None | $151.36 | $151.36 | $158.49 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $3,801.89 | Facility | None | $239.88 | $407.38 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $239.88 | Professional | None | $131.83 | $190.55 | $239.88 |
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 $104.71 Median $151.36 Typical High $245.47 | Professional | None | $104.71 | $151.36 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
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 $87.10 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $34.67 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $131.83 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $17.38 | $19.05 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $95.50 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $34.67 | $38.90 | $45.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $131.83 | $144.54 | $169.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $33.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $17.38 | $19.05 | $22.39 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 49th of 51
$145
AK $603UT $132
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.