How much rates vary
Facilitymedian $347 · 10th to 90th $49 to $2,818Professionalmedian $83 · 10th to 90th $18 to $158
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 $537.03 Median $2,238.72 Typical High $6,918.31 | Facility | None | $537.03 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $141.25 | Professional | None | $47.86 | $77.62 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $89.13 | Professional | None | $57.54 | $85.11 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $44.67 Median $93.33 Typical High $398.11 | Facility | None | $44.67 | $93.33 | $398.11 |
BCBS Texas Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $134.90 | Professional | None | $50.12 | $81.28 | $134.90 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $1,412.54 | Facility | None | $51.29 | $72.44 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $144.54 | Professional | None | $58.88 | $89.13 | $144.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $977.24 Typical High $4,570.88 | Facility | None | $67.61 | $977.24 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $141.25 | Professional | None | $47.86 | $77.62 | $141.25 |
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 $173.78 Median $181.97 Typical High $338.84 | Professional | None | $173.78 | $181.97 | $338.84 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $3,801.89 | Facility | None | $56.23 | $107.15 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $141.25 | Professional | None | $58.88 | $89.13 | $141.25 |
United Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,235.94 | Facility | None | $389.05 | $1,230.27 | $3,235.94 |
United Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $162.18 | Professional | None | $50.12 | $81.28 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
11 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 $23.99 Median $38.90 Typical High $44.67 | Professional | 52 · Reduced service | $23.99 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $15.49 Typical High $17.78 | Professional | 53 · Discontinued | $9.55 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $57.54 Typical High $67.61 | Professional | 54 · Surgery only | $36.31 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $11.48 Typical High $13.49 | Professional | 55 · Aftercare only | $7.24 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.76 Typical High $8.91 | Professional | 56 · Pre-op care only | $4.79 | $7.76 | $8.91 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 50 · Both sides | $89.13 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $38.02 Typical High $44.67 | Professional | 52 · Reduced service | $23.99 | $38.02 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $15.14 Typical High $17.78 | Professional | 53 · Discontinued | $9.55 | $15.14 | $17.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $56.23 Typical High $67.61 | Professional | 54 · Surgery only | $36.31 | $56.23 | $67.61 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $11.22 Typical High $13.49 | Professional | 55 · Aftercare only | $7.24 | $11.22 | $13.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.59 Typical High $8.91 | Professional | 56 · Pre-op care only | $4.79 | $7.59 | $8.91 |
Where Texas sits
The same service costs 3.2 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· 43rd of 51
$87.10
AK $224KY $69.18
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.