How much rates vary
Facilitymedian $89 · 10th to 90th $66 to $141Professionalmedian $79 · 10th to 90th $12 to $977
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 $66.07 Median $79.43 Typical High $87.10 | Facility | None | $66.07 | $79.43 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $104.71 | Professional | None | $66.07 | $79.43 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | None | $69.18 | $91.20 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $141.25 | Facility | None | $75.86 | $93.33 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $104.71 | Professional | None | $66.07 | $79.43 | $104.71 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $56.23 Typical High $74.13 | Professional | None | $10.00 | $56.23 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None | $141.25 | $141.25 | $147.91 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $141.25 | Facility | None | $75.86 | $102.33 | $141.25 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | None | $69.18 | $91.20 | $134.90 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | None | $69.18 | $91.20 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $33.11 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $13.49 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.02 Typical High $15.85 | Professional | 55 · Aftercare only | $10.00 | $12.02 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.94 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.61 | $7.94 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $39.81 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $13.49 | $16.22 | $20.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.02 Typical High $15.85 | Professional | 55 · Aftercare only | $10.00 | $12.02 | $15.85 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.94 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.61 | $7.94 | $10.47 |
Where Texas sits
The same service costs 3.1 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· 49th of 51
$79.43
AK $229FL $74.13
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.