How much rates vary
Facilitymedian $295 · 10th to 90th $112 to $3,548Professionalmedian $105 · 10th to 90th $17 to $871
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 $87.10 Median $102.33 Typical High $120.23 | Professional | None | $87.10 | $102.33 | $120.23 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $316.23 | Facility | None | $66.07 | $204.17 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $173.78 | Professional | None | $104.71 | $109.65 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | None | $794.33 | $794.33 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $1,778.28 Typical High $6,025.60 | Facility | None | $95.50 | $1,778.28 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $144.54 | Professional | None | $87.10 | $104.71 | $144.54 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $79.43 Typical High $109.65 | Professional | None | $14.45 | $79.43 | $109.65 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $295.12 | Facility | None | $66.07 | $199.53 | $295.12 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $177.83 | Professional | None | $104.71 | $109.65 | $177.83 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $177.83 | Professional | None | $87.10 | $117.49 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $43.65 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $43.65 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | 54 · Surgery only | $64.57 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.45 Typical High $16.60 | Professional | 55 · Aftercare only | $12.88 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.77 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.71 | $9.77 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $47.86 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $19.50 | $21.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | 54 · Surgery only | $64.57 | $72.44 | $83.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.45 Typical High $16.60 | Professional | 55 · Aftercare only | $12.88 | $14.45 | $16.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.77 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.71 | $9.77 | $10.96 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 51st of 51
$110
AK $355TX $110
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.