How much rates vary
Facilitymedian $91 · 10th to 90th $48 to $158Professionalmedian $87 · 10th to 90th $41 to $151
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 $47.86 Median $57.54 Typical High $102.33 | Facility | None | $47.86 | $57.54 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $117.49 | Professional | None | $40.74 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $40.74 Typical High $58.88 | Professional | 52 · Reduced service | $20.42 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $16.22 Typical High $23.44 | Professional | 53 · Discontinued | $8.13 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $12.30 Typical High $17.38 | Professional | 55 · Aftercare only | $6.03 | $12.30 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $8.13 Typical High $11.75 | Professional | 56 · Pre-op care only | $4.07 | $8.13 | $11.75 |
BCBS Texas Setting Professional Modifier None Typical Low $43.65 Median $89.13 Typical High $123.03 | Professional | None | $43.65 | $89.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $114.82 | Professional | None | $57.54 | $100.00 | $114.82 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None | $776.25 | $776.25 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $47.86 Median $91.20 Typical High $158.49 | Facility | None | $47.86 | $91.20 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $114.82 | Professional | None | $40.74 | $81.28 | $114.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $40.74 Typical High $56.23 | Professional | 52 · Reduced service | $20.42 | $40.74 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $16.22 Typical High $22.39 | Professional | 53 · Discontinued | $8.13 | $16.22 | $22.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $12.30 Typical High $16.98 | Professional | 55 · Aftercare only | $6.03 | $12.30 | $16.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $8.13 Typical High $11.22 | Professional | 56 · Pre-op care only | $4.07 | $8.13 | $11.22 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $89.13 Typical High $112.20 | Professional | None | $15.14 | $89.13 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $112.20 | Professional | None | $48.98 | $107.15 | $112.20 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $151.36 | Facility | None | $47.86 | $89.13 | $151.36 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $114.82 | Professional | None | $57.54 | $100.00 | $114.82 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $112.20 | Professional | None | $33.11 | $64.57 | $112.20 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | None | $109.65 | $112.20 | $112.20 |
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· 34th of 51
$87.10
AK $178MD $64.57
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.