How much rates vary
Facilitymedian $71 · 10th to 90th $71 to $2,042Professionalmedian $68 · 10th to 90th $31 to $832
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 $53.70 Median $64.57 Typical High $85.11 | Facility | None | $53.70 | $64.57 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $97.72 | Professional | None | $53.70 | $64.57 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $61.66 | Professional | None | $47.86 | $60.26 | $61.66 |
BCBS Texas Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $114.82 | Professional | None | $57.54 | $74.13 | $114.82 |
Baylor Scott & White Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $100.00 | Professional | None | $61.66 | $67.61 | $100.00 |
Christus Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $691.83 Typical High $1,479.11 | Facility | None | $66.07 | $691.83 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $104.71 | Professional | None | $56.23 | $74.13 | $104.71 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | None | $831.76 | $851.14 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $407.38 | Facility | None | $60.26 | $79.43 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $97.72 | Professional | None | $53.70 | $64.57 | $97.72 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $28.18 Typical High $38.02 | Professional | None | $5.01 | $28.18 | $38.02 |
Oscar Health Setting Facility Modifier None Typical Low $851.14 Median $2,041.74 Typical High $2,041.74 | Facility | None | $851.14 | $2,041.74 | $2,041.74 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $144.54 | Professional | None | $63.10 | $114.82 | $144.54 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $407.38 | Facility | None | $60.26 | $83.18 | $407.38 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $104.71 | Professional | None | $56.23 | $74.13 | $104.71 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,412.54 | Facility | None | $1,047.13 | $1,071.52 | $1,412.54 |
United Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $109.65 | Professional | None | $56.23 | $72.44 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
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 $26.92 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $26.92 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $16.98 | Professional | 53 · Discontinued | $10.96 | $12.88 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 55 · Aftercare only | $8.13 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.46 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.37 | $6.46 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 59 · Distinct service | $56.23 | $56.23 | $60.26 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | GC · Resident with teaching physician | $60.26 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $26.92 | $32.36 | $42.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $16.98 | Professional | 53 · Discontinued | $10.96 | $12.88 | $16.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 55 · Aftercare only | $8.13 | $9.77 | $12.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.46 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.37 | $6.46 | $8.51 |
Where Texas sits
The same service costs 3.2 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· 48th of 51
$67.61
AK $182FL $57.54
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.