How much rates vary
Facilitymedian $407 · 10th to 90th $195 to $2,692Professionalmedian $105 · 10th to 90th $17 to $776
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 $851.14 Median $2,754.23 Typical High $6,918.31 | Facility | None | $851.14 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $147.91 | Professional | None | $107.15 | $117.49 | $147.91 |
BCBS Texas Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $1,659.59 | Facility | None | $213.80 | $363.08 | $1,659.59 |
BCBS Texas Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $165.96 | Professional | None | $97.72 | $123.03 | $165.96 |
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 $346.74 Typical High $2,290.87 | Facility | None | $245.47 | $346.74 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $158.49 | Professional | None | $89.13 | $128.82 | $158.49 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $891.25 | Professional | None | $776.25 | $891.25 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $1,905.46 Typical High $5,623.41 | Facility | None | $114.82 | $1,905.46 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $138.04 | Professional | None | $107.15 | $117.49 | $138.04 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $81.28 Typical High $109.65 | Professional | None | $14.79 | $81.28 | $109.65 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $2,398.83 | Facility | None | $162.18 | $331.13 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $158.49 | Professional | None | $85.11 | $128.82 | $158.49 |
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 $83.18 Median $104.71 Typical High $158.49 | Professional | None | $83.18 | $104.71 | $158.49 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
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 $53.70 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $89.13 Typical High $104.71 | Professional | 54 · Surgery only | $79.43 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $15.85 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.75 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.72 | $11.75 | $13.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $58.88 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $23.99 | $27.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $89.13 Typical High $104.71 | Professional | 54 · Surgery only | $79.43 | $89.13 | $104.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $15.85 | $17.78 | $20.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.75 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.72 | $11.75 | $13.80 |
Where Texas sits
The same service costs 4.8 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· 46th of 51
$107
AK $427FL $89.13
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.