How much rates vary
Facilitymedian $3,090 · 10th to 90th $912 to $7,586Professionalmedian $324 · 10th to 90th $49 to $589
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 $346.74 Median $363.08 Typical High $537.03 | Professional | None | $346.74 | $363.08 | $537.03 |
BCBS Texas Setting Facility Modifier None Typical Low $2,570.40 Median $4,897.79 Typical High $10,715.19 | Facility | None | $2,570.40 | $4,897.79 | $10,715.19 |
BCBS Texas Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $537.03 | Professional | None | $316.23 | $407.38 | $537.03 |
Christus Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $2,187.76 | Facility | None | $602.56 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $616.60 | Professional | None | $295.12 | $426.58 | $616.60 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $1,905.46 Typical High $5,495.41 | Facility | None | $363.08 | $1,905.46 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $446.68 | Professional | None | $346.74 | $363.08 | $446.68 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $245.47 Typical High $331.13 | Professional | None | $43.65 | $245.47 | $331.13 |
Oscar Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | None | $436.52 | $436.52 | $457.09 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $1,230.27 Typical High $4,466.84 | Facility | None | $537.03 | $1,230.27 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $616.60 | Professional | None | $295.12 | $426.58 | $616.60 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $562.34 | Professional | None | $281.84 | $389.05 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 $169.82 Median $181.97 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $87.10 | Professional | 53 · Discontinued | $69.18 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $323.59 | Professional | 54 · Surgery only | $257.04 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $43.65 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $181.97 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $69.18 | $72.44 | $77.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $295.12 | Professional | 54 · Surgery only | $257.04 | $269.15 | $295.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $58.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $38.90 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $38.90 |
Where Texas sits
The same service costs 4.8 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· 50th of 51
$324
AK $1,413UT $295
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.