How much rates vary
Facilitymedian $355 · 10th to 90th $56 to $3,548Professionalmedian $83 · 10th to 90th $17 to $148
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 $575.44 Median $2,238.72 Typical High $6,918.31 | Facility | None | $575.44 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $72.44 Typical High $109.65 | Professional | None | $38.02 | $72.44 | $109.65 |
BCBS Texas Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $354.81 | Facility | None | $40.74 | $74.13 | $354.81 |
BCBS Texas Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $169.82 | Professional | None | $36.31 | $64.57 | $169.82 |
Baylor Scott & White Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Christus Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $1,412.54 | Facility | None | $52.48 | $74.13 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $85.11 Typical High $134.90 | Professional | None | $47.86 | $85.11 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $977.24 Typical High $4,677.35 | Facility | None | $58.88 | $977.24 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $72.44 Typical High $112.20 | Professional | None | $38.02 | $72.44 | $112.20 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $83.18 Typical High $109.65 | Professional | None | $14.79 | $83.18 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $302.00 | Professional | None | $141.25 | $147.91 | $302.00 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $3,801.89 | Facility | None | $56.23 | $109.65 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $85.11 Typical High $131.83 | Professional | None | $47.86 | $85.11 | $131.83 |
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 $41.69 Median $79.43 Typical High $128.82 | Professional | None | $41.69 | $79.43 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
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 $19.05 Median $36.31 Typical High $43.65 | Professional | 52 · Reduced service | $19.05 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $14.45 Typical High $17.38 | Professional | 53 · Discontinued | $7.59 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $53.70 Typical High $64.57 | Professional | 54 · Surgery only | $28.84 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $10.72 Typical High $12.88 | Professional | 55 · Aftercare only | $5.75 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $7.24 Typical High $8.71 | Professional | 56 · Pre-op care only | $3.80 | $7.24 | $8.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $19.05 | $35.48 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $14.13 Typical High $16.60 | Professional | 53 · Discontinued | $7.59 | $14.13 | $16.60 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $52.48 Typical High $61.66 | Professional | 54 · Surgery only | $28.84 | $52.48 | $61.66 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $10.47 Typical High $12.59 | Professional | 55 · Aftercare only | $5.75 | $10.47 | $12.59 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $7.08 Typical High $8.32 | Professional | 56 · Pre-op care only | $3.80 | $7.08 | $8.32 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in Virginia. 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· 39th of 51
$85.11
AK $182VA $60.26
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.