How much rates vary
Facilitymedian $174 · 10th to 90th $68 to $324Professionalmedian $69 · 10th to 90th $41 to $135
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 $46.77 Median $53.70 Typical High $83.18 | Facility | None | $46.77 | $53.70 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $97.72 | Professional | None | $38.90 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $33.88 Typical High $47.86 | Professional | 52 · Reduced service | $19.05 | $33.88 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $13.80 Typical High $19.05 | Professional | 53 · Discontinued | $7.76 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $10.23 Typical High $14.13 | Professional | 55 · Aftercare only | $5.75 | $10.23 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $6.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $3.89 | $6.76 | $9.55 |
BCBS Texas Setting Facility Modifier None Typical Low $81.28 Median $181.97 Typical High $323.59 | Facility | None | $81.28 | $181.97 | $323.59 |
BCBS Texas Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $93.33 | Professional | None | $40.74 | $72.44 | $93.33 |
Baylor Scott & White Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $100.00 | Professional | None | $34.67 | $34.67 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $95.50 | Professional | None | $53.70 | $85.11 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | None | $741.31 | $741.31 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $141.25 | Facility | None | $46.77 | $81.28 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $95.50 | Professional | None | $38.90 | $67.61 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $33.88 Typical High $46.77 | Professional | 52 · Reduced service | $19.05 | $33.88 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $13.80 Typical High $18.62 | Professional | 53 · Discontinued | $7.76 | $13.80 | $18.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $10.23 Typical High $14.13 | Professional | 55 · Aftercare only | $5.75 | $10.23 | $14.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $6.76 Typical High $9.33 | Professional | 56 · Pre-op care only | $3.89 | $6.76 | $9.33 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $85.11 | Professional | None | $44.67 | $56.23 | $85.11 |
Oscar Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $128.82 | Facility | None | $46.77 | $81.28 | $128.82 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $93.33 | Professional | None | $53.70 | $85.11 | $93.33 |
United Setting Professional Modifier None Typical Low $33.11 Median $60.26 Typical High $95.50 | Professional | None | $33.11 | $60.26 | $95.50 |
Wellpoint Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None | $97.72 | $100.00 | $100.00 |
6 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 |
|---|---|---|---|---|---|
Oscar Health Setting Professional Modifier NDW Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | NDW | $60.26 | $60.26 | $60.26 |
Oscar Health Setting Professional Modifier NES Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | NES | $60.26 | $60.26 | $60.26 |
Oscar Health Setting Professional Modifier NEW Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | NEW | $60.26 | $60.26 | $60.26 |
Oscar Health Setting Professional Modifier NNW Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | NNW | $60.26 | $60.26 | $60.26 |
Oscar Health Setting Professional Modifier SP · Ambulance S to P Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | SP · Ambulance S to P | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Texas sits
The same service costs 3.0 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· 39th of 51
$72.44
AK $166FL $54.95
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.