How much rates vary
Facilitymedian $3,548 · 10th to 90th $646 to $10,000Professionalmedian $257 · 10th to 90th $43 to $1,862
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 $251.19 Median $263.03 Typical High $380.19 | Professional | None | $251.19 | $263.03 | $380.19 |
BCBS Texas Setting Facility Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $16,595.87 | Facility | None | $4,265.80 | $7,943.28 | $16,595.87 |
BCBS Texas Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $407.38 | Professional | None | $234.42 | $295.12 | $407.38 |
Christus Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,495.41 Typical High $7,762.47 | Facility | None | $758.58 | $5,495.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $407.38 | Professional | None | $218.78 | $316.23 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,862.09 | $1,949.84 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $1,905.46 Typical High $5,623.41 | Facility | None | $269.15 | $1,905.46 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $323.59 | Professional | None | $251.19 | $263.03 | $323.59 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $213.80 Typical High $288.40 | Professional | None | $39.81 | $213.80 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $831.76 | Professional | None | $239.88 | $457.09 | $831.76 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $5,888.44 Typical High $7,943.28 | Facility | None | $588.84 | $5,888.44 | $7,943.28 |
Providence Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $407.38 | Professional | None | $208.93 | $316.23 | $407.38 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Facility | None | $616.60 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $398.11 | Professional | None | $208.93 | $275.42 | $398.11 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
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 $125.89 Median $131.83 Typical High $158.49 | Professional | 52 · Reduced service | $125.89 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $63.10 | Professional | 53 · Discontinued | $50.12 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $199.53 Typical High $239.88 | Professional | 54 · Surgery only | $186.21 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $39.81 Typical High $46.77 | Professional | 55 · Aftercare only | $38.02 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $26.30 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.12 | $26.30 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $131.83 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $52.48 | $57.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $199.53 Typical High $213.80 | Professional | 54 · Surgery only | $186.21 | $199.53 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $39.81 Typical High $42.66 | Professional | 55 · Aftercare only | $38.02 | $39.81 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $26.30 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.12 | $26.30 | $28.84 |
Where Texas sits
The same service costs 4.3 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· 47th of 51
$263
AK $1,047FL $245
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.