How much rates vary
Facilitymedian $1,479 · 10th to 90th $186 to $4,467Professionalmedian $631 · 10th to 90th $100 to $4,898
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 $851.14 Median $2,754.23 Typical High $6,918.31 | Facility | None | $851.14 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $851.14 | Professional | None | $575.44 | $660.69 | $851.14 |
BCBS Texas Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $4,466.84 | Facility | None | $2,041.74 | $4,265.80 | $4,466.84 |
BCBS Texas Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,071.52 | Professional | None | $616.60 | $776.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $2,691.53 | Facility | None | $446.68 | $870.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,122.02 | Professional | None | $630.96 | $794.33 | $1,122.02 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,128.61 | Professional | None | $4,897.79 | $4,897.79 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,905.46 Typical High $5,623.41 | Facility | None | $630.96 | $1,905.46 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $812.83 | Professional | None | $575.44 | $660.69 | $812.83 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $512.86 Typical High $660.69 | Professional | None | $89.13 | $512.86 | $660.69 |
Providence Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $2,691.53 | Facility | None | $524.81 | $977.24 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,122.02 | Professional | None | $630.96 | $794.33 | $1,122.02 |
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 $549.54 Median $707.95 Typical High $1,047.13 | Professional | None | $549.54 | $707.95 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
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 $288.40 Median $323.59 Typical High $363.08 | Professional | 52 · Reduced service | $288.40 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 53 · Discontinued | $114.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | 56 · Pre-op care only | $57.54 | $64.57 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $323.59 Typical High $363.08 | Professional | 52 · Reduced service | $288.40 | $323.59 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 53 · Discontinued | $114.82 | $128.82 | $144.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $95.50 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | 56 · Pre-op care only | $57.54 | $64.57 | $72.44 |
Where Texas sits
The same service costs 4.7 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· 48th of 51
$646
AK $2,754UT $589
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.