How much rates vary
Facilitymedian $2,089 · 10th to 90th $646 to $4,786Professionalmedian $550 · 10th to 90th $93 to $1,950
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 $691.83 Median $2,290.87 Typical High $6,918.31 | Facility | None | $691.83 | $2,290.87 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $891.25 | Professional | None | $467.74 | $537.03 | $891.25 |
BCBS Texas Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $6,456.54 | Facility | None | $1,621.81 | $2,818.38 | $6,456.54 |
Christus Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,819.70 Typical High $2,691.53 | Facility | None | $660.69 | $1,819.70 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $954.99 | Professional | None | $489.78 | $660.69 | $954.99 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | None | $14,791.08 | $14,791.08 | $14,791.08 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $1,862.09 Typical High $5,248.07 | Facility | None | $524.81 | $1,862.09 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $776.25 | Professional | None | $467.74 | $537.03 | $776.25 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $467.74 Typical High $630.96 | Professional | None | $83.18 | $467.74 | $630.96 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,862.09 Typical High $6,165.95 | Facility | None | $630.96 | $1,862.09 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $933.25 | Professional | None | $489.78 | $660.69 | $933.25 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,737.80 | Professional | None | $389.05 | $562.34 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 $234.42 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $234.42 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $398.11 Typical High $478.63 | Professional | 54 · Surgery only | $354.81 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $79.43 Typical High $95.50 | Professional | 55 · Aftercare only | $70.79 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $46.77 | $52.48 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $263.03 Typical High $295.12 | Professional | 52 · Reduced service | $234.42 | $263.03 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $104.71 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $354.81 | $398.11 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | 55 · Aftercare only | $70.79 | $79.43 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | 56 · Pre-op care only | $46.77 | $52.48 | $58.88 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 48th of 51
$562
AK $2,344KY $525
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.