How much rates vary
Facilitymedian $1,549 · 10th to 90th $550 to $5,754Professionalmedian $912 · 10th to 90th $209 to $7,244
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 $630.96 Median $794.33 Typical High $977.24 | Facility | None | $630.96 | $794.33 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,174.90 | Professional | None | $630.96 | $812.83 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,148.15 | Professional | None | $794.33 | $1,000.00 | $1,148.15 |
BCBS Texas Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $4,466.84 | Facility | None | $676.08 | $1,230.27 | $4,466.84 |
BCBS Texas Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,737.80 | Professional | None | $645.65 | $933.25 | $1,737.80 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Christus Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $2,691.53 | Facility | None | $630.96 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,288.25 | Professional | None | $741.31 | $954.99 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $9,332.54 | Professional | None | $7,244.36 | $7,244.36 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,202.26 | Facility | None | $630.96 | $891.25 | $1,202.26 |
Moda Health Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,479.11 | Professional | None | $630.96 | $812.83 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $831.76 Typical High $1,122.02 | Professional | None | $151.36 | $831.76 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $2,691.53 | Facility | None | $645.65 | $1,071.52 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,288.25 | Professional | None | $741.31 | $954.99 | $1,288.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,041.74 Typical High $8,912.51 | Facility | None | $407.38 | $2,041.74 | $8,912.51 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,174.90 | Professional | None | $549.54 | $758.58 | $1,174.90 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 52 · Reduced service Typical Low $309.03 Median $398.11 Typical High $512.86 | Professional | 52 · Reduced service | $309.03 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $120.23 Typical High $154.88 | Professional | 55 · Aftercare only | $93.33 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | 56 · Pre-op care only | $63.10 | $79.43 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $398.11 Typical High $512.86 | Professional | 52 · Reduced service | $309.03 | $398.11 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $120.23 Typical High $154.88 | Professional | 55 · Aftercare only | $93.33 | $120.23 | $154.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | 56 · Pre-op care only | $63.10 | $79.43 | $104.71 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 35th of 51
$933
AK $2,512IN $776
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.