How much rates vary
Facilitymedian $741 · 10th to 90th $112 to $2,630Professionalmedian $14 · 10th to 90th $10 to $661
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 $11.22 Median $11.48 Typical High $11.75 | Facility | None | $11.22 | $11.48 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $12.88 | Professional | None | $11.22 | $11.48 | $12.88 |
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 $407.38 Median $758.58 Typical High $1,659.59 | Facility | None | $407.38 | $758.58 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $22.39 | Professional | None | $12.30 | $14.45 | $22.39 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $79.43 | Facility | None | $10.23 | $12.30 | $79.43 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $14.79 | Professional | None | $11.22 | $11.48 | $14.79 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $16.60 Median $1,659.59 Typical High $3,981.07 | Facility | None | $16.60 | $1,659.59 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $22.39 | Professional | None | $12.30 | $14.45 | $22.39 |
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 $9.77 Median $13.18 Typical High $19.95 | Professional | None | $9.77 | $13.18 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
8 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 $5.50 Median $5.75 Typical High $6.31 | Professional | 52 · Reduced service | $5.50 | $5.75 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $2.51 | Professional | 53 · Discontinued | $2.24 | $2.29 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.74 Typical High $1.91 | Professional | 55 · Aftercare only | $1.66 | $1.74 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.15 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.12 | $1.15 | $1.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.75 Typical High $6.31 | Professional | 52 · Reduced service | $5.50 | $5.75 | $6.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $2.57 | Professional | 53 · Discontinued | $2.24 | $2.29 | $2.57 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.74 Typical High $1.91 | Professional | 55 · Aftercare only | $1.66 | $1.74 | $1.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.15 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.12 | $1.15 | $1.26 |
Where Texas sits
The same service costs 12.3 times more in Florida than in Kentucky. 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· 33rd of 51
$17.38
FL $132KY $10.72
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.