How much rates vary
Facilitymedian $282 · 10th to 90th $79 to $2,570Professionalmedian $151 · 10th to 90th $30 to $468
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 $467.74 Median $2,187.76 Typical High $6,918.31 | Facility | None | $467.74 | $2,187.76 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $169.82 | Professional | None | $95.50 | $134.90 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
BCBS Texas Setting Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $691.83 | Facility | None | $72.44 | $107.15 | $691.83 |
BCBS Texas Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $245.47 | Professional | None | $109.65 | $154.88 | $245.47 |
Christus Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $562.34 | Facility | None | $66.07 | $125.89 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $234.42 | Professional | None | $125.89 | $169.82 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,479.11 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $1,023.29 Typical High $4,570.88 | Facility | None | $134.90 | $1,023.29 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $169.82 | Professional | None | $95.50 | $134.90 | $169.82 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $138.04 Typical High $181.97 | Professional | None | $25.12 | $138.04 | $181.97 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $478.63 | Facility | None | $66.07 | $128.82 | $478.63 |
Providence Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $234.42 | Professional | None | $123.03 | $169.82 | $234.42 |
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 $95.50 Median $138.04 Typical High $208.93 | Professional | None | $95.50 | $138.04 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $47.86 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $47.86 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $19.50 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $102.33 Typical High $120.23 | Professional | 54 · Surgery only | $72.44 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.42 Typical High $23.99 | Professional | 55 · Aftercare only | $14.45 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.49 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.55 | $13.49 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $47.86 | $67.61 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $19.50 | $26.92 | $31.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $102.33 Typical High $120.23 | Professional | 54 · Surgery only | $72.44 | $102.33 | $120.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.42 Typical High $23.99 | Professional | 55 · Aftercare only | $14.45 | $20.42 | $23.99 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.49 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.55 | $13.49 | $15.85 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 41st of 51
$155
AK $468FL $132
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.