How much rates vary
Facilitymedian $513 · 10th to 90th $380 to $708Professionalmedian $490 · 10th to 90th $89 to $3,631
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $380.19 Median $457.09 Typical High $501.19 | Facility | None | $380.19 | $457.09 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $602.56 | Professional | None | $380.19 | $457.09 | $602.56 |
BCBS Texas Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $794.33 | Professional | None | $436.52 | $575.44 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $676.08 | Professional | None | $398.11 | $524.81 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,630.78 | $4,365.16 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $676.08 | Facility | None | $380.19 | $512.86 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $602.56 | Professional | None | $380.19 | $457.09 | $602.56 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $426.58 Typical High $575.44 | Professional | None | $79.43 | $426.58 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,202.26 | Professional | None | $524.81 | $954.99 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $707.95 | Facility | None | $457.09 | $588.84 | $707.95 |
Providence Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $676.08 | Professional | None | $398.11 | $524.81 | $676.08 |
United Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $660.69 | Professional | None | $338.84 | $446.68 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
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 $190.55 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $190.55 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $69.18 Typical High $89.13 | Professional | 55 · Aftercare only | $57.54 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $45.71 Typical High $60.26 | Professional | 56 · Pre-op care only | $38.02 | $45.71 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $190.55 | $229.09 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $91.20 | $120.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $69.18 Typical High $89.13 | Professional | 55 · Aftercare only | $57.54 | $69.18 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $45.71 Typical High $60.26 | Professional | 56 · Pre-op care only | $38.02 | $45.71 | $60.26 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in New York. 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· 42nd of 51
$490
AK $1,202NY $380
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.