How much rates vary
Facilitymedian $81 · 10th to 90th $42 to $145Professionalmedian $74 · 10th to 90th $36 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 $41.69 Median $48.98 Typical High $87.10 | Facility | None | $41.69 | $48.98 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $70.79 Typical High $100.00 | Professional | None | $34.67 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $35.48 Typical High $50.12 | Professional | 52 · Reduced service | $17.38 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $14.13 Typical High $19.95 | Professional | 53 · Discontinued | $7.08 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $10.47 Typical High $14.79 | Professional | 55 · Aftercare only | $5.25 | $10.47 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $7.08 Typical High $10.00 | Professional | 56 · Pre-op care only | $3.47 | $7.08 | $10.00 |
BCBS Texas Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $102.33 | Professional | None | $36.31 | $74.13 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $97.72 | Professional | None | $47.86 | $83.18 | $97.72 |
Lucent Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $831.76 | Professional | None | $676.08 | $676.08 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $81.28 Typical High $144.54 | Facility | None | $41.69 | $81.28 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $34.67 Median $70.79 Typical High $100.00 | Professional | None | $34.67 | $70.79 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $35.48 Typical High $47.86 | Professional | 52 · Reduced service | $17.38 | $35.48 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $14.13 Typical High $19.05 | Professional | 53 · Discontinued | $7.08 | $14.13 | $19.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $10.47 Typical High $14.45 | Professional | 55 · Aftercare only | $5.25 | $10.47 | $14.45 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $7.08 Typical High $9.55 | Professional | 56 · Pre-op care only | $3.47 | $7.08 | $9.55 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $87.10 Typical High $109.65 | Professional | None | $15.14 | $87.10 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $93.33 Typical High $100.00 | Professional | None | $41.69 | $93.33 | $100.00 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $131.83 | Facility | None | $41.69 | $79.43 | $131.83 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $97.72 | Professional | None | $47.86 | $83.18 | $97.72 |
United Setting Facility Modifier None Typical Low $676.08 Median $707.95 Typical High $933.25 | Facility | None | $676.08 | $707.95 | $933.25 |
United Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $100.00 | Professional | None | $30.90 | $56.23 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | None | $95.50 | $100.00 | $100.00 |
1 more rate 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 |
|---|---|---|---|---|---|
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 2.8 times more in Alaska than in Maryland. 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· 35th of 51
$74.13
AK $155MD $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.