How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,660 to $8,511Professionalmedian $2,818 · 10th to 90th $2,239 to $2,951
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,454.71 | $2,884.03 | $2,884.03 |
BCBS Texas Setting Facility Modifier None Typical Low $1,659.59 Median $4,466.84 Typical High $8,317.64 | Facility | None | $1,659.59 | $4,466.84 | $8,317.64 |
BCBS Texas Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $8,709.64 | Facility | None | $2,691.53 | $4,073.80 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $2,884.03 Typical High $4,168.69 | Facility | None | $104.71 | $2,884.03 | $4,168.69 |
Moda Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,454.71 | $2,884.03 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,949.84 Typical High $1,949.84 | Professional | None | $30.20 | $1,949.84 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $22,908.68 | Facility | None | $1,819.70 | $3,090.30 | $22,908.68 |
Providence Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,884.03 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $1,230.27 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,230.27 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $371.54 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $245.47 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Where Texas sits
The same service costs 25.1 times more in Arizona than in Montana. 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
$2,951
AZ $3,715MT $148
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.