How much rates vary
Facilitymedian $1,820 · 10th to 90th $389 to $10,471Professionalmedian $263 · 10th to 90th $44 to $2,692
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 $218.78 Median $275.42 Typical High $302.00 | Professional | None | $218.78 | $275.42 | $302.00 |
BCBS Texas Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $436.52 | Professional | None | $251.19 | $316.23 | $436.52 |
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 $263.03 Median $288.40 Typical High $478.63 | Professional | None | $263.03 | $288.40 | $478.63 |
Lucent Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $1,819.70 Typical High $6,918.31 | Facility | None | $239.88 | $1,819.70 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $331.13 | Professional | None | $218.78 | $275.42 | $331.13 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $213.80 Typical High $288.40 | Professional | None | $38.90 | $213.80 | $288.40 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $1,318.26 Typical High $251,188.64 | Facility | None | $338.84 | $1,318.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $478.63 | Professional | None | $263.03 | $281.84 | $478.63 |
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 $218.78 Median $302.00 Typical High $446.68 | Professional | None | $218.78 | $302.00 | $446.68 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
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 $107.15 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $107.15 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $181.97 Typical High $204.17 | Professional | 54 · Surgery only | $162.18 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $36.31 Typical High $40.74 | Professional | 55 · Aftercare only | $32.36 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.99 Typical High $27.54 | Professional | 56 · Pre-op care only | $21.88 | $23.99 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $107.15 | $120.23 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $42.66 | $47.86 | $54.95 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $181.97 Typical High $204.17 | Professional | 54 · Surgery only | $162.18 | $181.97 | $204.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $36.31 Typical High $40.74 | Professional | 55 · Aftercare only | $32.36 | $36.31 | $40.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.99 Typical High $27.54 | Professional | 56 · Pre-op care only | $21.38 | $23.99 | $27.54 |
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
$275
AK $871TX $275
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.