How much rates vary
Facilitymedian $2,399 · 10th to 90th $617 to $6,918Professionalmedian $537 · 10th to 90th $83 to $4,074
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 $537.03 Median $575.44 Typical High $1,862.09 | Professional | None | $537.03 | $575.44 | $1,862.09 |
BCBS Texas Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $645.65 | Professional | None | $489.78 | $537.03 | $645.65 |
Christus Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,623.41 Typical High $8,128.31 | Facility | None | $758.58 | $5,623.41 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $977.24 | Professional | None | $562.34 | $645.65 | $977.24 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,168.69 | Professional | None | $4,073.80 | $4,073.80 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $1,737.80 Typical High $5,248.07 | Facility | None | $501.19 | $1,737.80 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $758.58 | Professional | None | $537.03 | $562.34 | $758.58 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $407.38 Typical High $549.54 | Professional | None | $74.13 | $407.38 | $549.54 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $5,623.41 Typical High $7,943.28 | Facility | None | $588.84 | $5,623.41 | $7,943.28 |
Providence Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $977.24 | Professional | None | $562.34 | $645.65 | $977.24 |
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 $446.68 Median $616.60 Typical High $933.25 | Professional | None | $446.68 | $616.60 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
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 $269.15 Median $275.42 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $407.38 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $81.28 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $64.57 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $275.42 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $275.42 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $109.65 | $128.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $407.38 | $416.87 | $489.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $81.28 | $83.18 | $97.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $64.57 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $64.57 |
Where Texas sits
The same service costs 3.9 times more in Alaska than in New York. 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· 49th of 51
$589
AK $2,239NY $575
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.