How much rates vary
Facilitymedian $1,995 · 10th to 90th $832 to $6,166Professionalmedian $282 · 10th to 90th $200 to $2,042
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 $234.42 Median $251.19 Typical High $269.15 | Professional | None | $234.42 | $251.19 | $269.15 |
BCBS Texas Setting Facility Modifier None Typical Low $977.24 Median $1,737.80 Typical High $8,709.64 | Facility | None | $977.24 | $1,737.80 | $8,709.64 |
BCBS Texas Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Christus Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,698.24 Typical High $2,398.83 | Facility | None | $501.19 | $1,698.24 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $371.54 | Professional | None | $208.93 | $269.15 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,737.80 | $1,737.80 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $1,905.46 Typical High $5,623.41 | Facility | None | $354.81 | $1,905.46 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $269.15 | Professional | None | $234.42 | $251.19 | $269.15 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $125.89 | Professional | None | $67.61 | $89.13 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $1,819.70 Typical High $3,890.45 | Facility | None | $426.58 | $1,819.70 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $363.08 | Professional | None | $208.93 | $269.15 | $363.08 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $363.08 | Professional | None | $190.55 | $251.19 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $117.49 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $190.55 Typical High $204.17 | Professional | 54 · Surgery only | $177.83 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.44 | $25.12 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $125.89 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $51.29 | $53.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $190.55 Typical High $204.17 | Professional | 54 · Surgery only | $177.83 | $190.55 | $204.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $38.02 | $40.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.44 | $25.12 | $26.92 |
Where Texas sits
The same service costs 4.6 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· 33rd of 51
$295
AK $1,000FL $219
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.