How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,549 to $6,918Professionalmedian $2,138 · 10th to 90th $1,738 to $2,188
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,862.09 | $2,187.76 | $2,187.76 |
BCBS Texas Setting Facility Modifier None Typical Low $1,479.11 Median $3,630.78 Typical High $6,918.31 | Facility | None | $1,479.11 | $3,630.78 | $6,918.31 |
BCBS Texas Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $6,456.54 | Facility | None | $2,041.74 | $3,090.30 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $6,025.60 | Facility | None | $2,187.76 | $2,187.76 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,862.09 | $2,187.76 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $17,378.01 | Facility | None | $2,041.74 | $2,454.71 | $17,378.01 |
Providence Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,778.28 | $2,187.76 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
8 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 $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $933.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $371.54 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $186.21 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Where Texas sits
The same service costs 1.9 times more in Arizona than in Hawaii. 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· 3rd of 51
$2,291
AZ $2,818HI $1,514
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.