How much rates vary
Facilitymedian $1,995 · 10th to 90th $417 to $6,918Professionalmedian $447 · 10th to 90th $71 to $3,548
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 $380.19 Median $426.58 Typical High $537.03 | Professional | None | $380.19 | $426.58 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,479.11 Typical High $2,691.53 | Facility | None | $537.03 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $776.25 | Professional | None | $467.74 | $537.03 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,890.45 | Professional | None | $3,548.13 | $3,548.13 | $3,890.45 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $1,819.70 Typical High $6,918.31 | Facility | None | $416.87 | $1,819.70 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $616.60 | Professional | None | $380.19 | $426.58 | $616.60 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $346.74 Typical High $467.74 | Professional | None | $63.10 | $346.74 | $467.74 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $2,691.53 | Facility | None | $416.87 | $707.95 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $776.25 | Professional | None | $467.74 | $537.03 | $776.25 |
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 $363.08 Median $467.74 Typical High $741.31 | Professional | None | $363.08 | $467.74 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
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 $186.21 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $363.08 | Professional | 54 · Surgery only | $281.84 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $204.17 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $97.72 | Professional | 53 · Discontinued | $75.86 | $81.28 | $97.72 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $363.08 | Professional | 54 · Surgery only | $281.84 | $309.03 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $48.98 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $48.98 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$468
AK $1,905UT $447
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.