How much rates vary
Facilitymedian $69 · 10th to 90th $25 to $129Professionalmedian $74 · 10th to 90th $23 to $646
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 $25.12 Median $29.51 Typical High $85.11 | Facility | None | $25.12 | $29.51 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $61.66 Typical High $95.50 | Professional | None | $20.89 | $61.66 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $30.90 Typical High $47.86 | Professional | 52 · Reduced service | $10.47 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $12.30 Typical High $19.05 | Professional | 53 · Discontinued | $4.27 | $12.30 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $9.33 Typical High $14.45 | Professional | 55 · Aftercare only | $3.16 | $9.33 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $6.17 Typical High $9.55 | Professional | 56 · Pre-op care only | $2.09 | $6.17 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $75.86 Typical High $93.33 | Professional | None | $29.51 | $75.86 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $831.76 | Professional | None | $645.65 | $645.65 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $69.18 Typical High $128.82 | Facility | None | $25.12 | $69.18 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $20.89 Median $61.66 Typical High $95.50 | Professional | None | $20.89 | $61.66 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $30.90 Typical High $46.77 | Professional | 52 · Reduced service | $10.47 | $30.90 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $13.49 Typical High $19.05 | Professional | 53 · Discontinued | $4.27 | $13.49 | $19.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $9.33 Typical High $14.13 | Professional | 55 · Aftercare only | $3.16 | $9.33 | $14.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $6.17 Typical High $9.55 | Professional | 56 · Pre-op care only | $2.09 | $6.17 | $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 $26.30 Median $26.92 Typical High $97.72 | Professional | None | $26.30 | $26.92 | $97.72 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $69.18 Typical High $123.03 | Facility | None | $25.12 | $69.18 | $123.03 |
Providence Setting Professional Modifier None Typical Low $29.51 Median $77.62 Typical High $93.33 | Professional | None | $29.51 | $77.62 | $93.33 |
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 $25.70 Median $38.02 Typical High $91.20 | Professional | None | $25.70 | $38.02 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | None | $93.33 | $97.72 | $97.72 |
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 3.5 times more in Hawaii 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· 19th of 51
$74.13
HI $135MD $38.02
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.