How much rates vary
Facilitymedian $1,905 · 10th to 90th $407 to $10,471Professionalmedian $282 · 10th to 90th $200 to $4,365
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 $724.44 Median $3,715.35 Typical High $9,120.11 | Facility | None | $724.44 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $269.15 | Professional | None | $229.09 | $245.47 | $269.15 |
BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,174.90 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $331.13 | Professional | None | $218.78 | $302.00 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $1,995.26 Typical High $6,918.31 | Facility | None | $251.19 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $257.04 | Professional | None | $229.09 | $245.47 | $257.04 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $229.09 | Professional | None | $33.88 | $37.15 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $1,479.11 Typical High $251,188.64 | Facility | None | $363.08 | $1,479.11 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $331.13 | Professional | None | $218.78 | $302.00 | $331.13 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $331.13 | Professional | None | $169.82 | $229.09 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
6 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 54 · Surgery only Typical Low $169.82 Median $181.97 Typical High $194.98 | Professional | 54 · Surgery only | $169.82 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $36.31 Typical High $39.81 | Professional | 55 · Aftercare only | $33.88 | $36.31 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $26.30 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $181.97 Typical High $194.98 | Professional | 54 · Surgery only | $169.82 | $181.97 | $194.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $36.31 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $36.31 | $38.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $25.70 |
Where Texas sits
The same service costs 8.1 times more in New York than in Missouri. 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· 36th of 51
$282
NY $1,820MO $224
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.