How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,514 to $17,378Professionalmedian $1,175 · 10th to 90th $148 to $1,549
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 $1,548.82 Median $4,786.30 Typical High $13,182.57 | Facility | None | $1,548.82 | $4,786.30 | $13,182.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $13,489.63 | Professional | None (both parts) | $123.03 | $158.49 | $13,489.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $123.03 | $147.91 | $199.53 |
BCBS Texas Setting Facility Modifier None Typical Low $3,311.31 Median $7,244.36 Typical High $13,182.57 | Facility | None | $3,311.31 | $7,244.36 | $13,182.57 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $660.69 | Professional | None (both parts) | $144.54 | $144.54 | $660.69 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $13,182.57 | Facility | None | $891.25 | $1,513.56 | $13,182.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $331.13 | Professional | 26 · Professional part | $186.21 | $223.87 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,174.90 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $1,174.90 | $1,548.82 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $3,715.35 Typical High $13,489.63 | Facility | None | $218.78 | $3,715.35 | $13,489.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $5,754.40 | Professional | None (both parts) | $123.03 | $147.91 | $5,754.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $123.03 | $154.88 | $263.03 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $2,511.89 Typical High $251,188.64 | Facility | None | $218.78 | $2,511.89 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $1,819,700.86 Typical High $2,398,832.92 | Professional | None (both parts) | $181.97 | $1,819,700.86 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $331.13 | Professional | 26 · Professional part | $186.21 | $223.87 | $331.13 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $9,549.93 Typical High $19,498.45 | Facility | None | $3,981.07 | $9,549.93 | $19,498.45 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $151.36 | $208.93 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $331.13 | Professional | 26 · Professional part | $151.36 | $208.93 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
11 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 $61.66 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $24.55 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 54 · Surgery only | $91.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $22.39 Typical High $28.18 | Professional | 55 · Aftercare only | $18.20 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.79 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.30 | $14.79 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $74.13 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $24.55 | $30.20 | $37.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $112.20 Typical High $138.04 | Professional | 54 · Surgery only | $91.20 | $112.20 | $138.04 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $22.39 Typical High $27.54 | Professional | 55 · Aftercare only | $18.20 | $22.39 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.79 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.30 | $14.79 | $18.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
Where Texas sits
The same service costs 28.8 times more in Colorado than in Kentucky. 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· 17th of 51
$2,818
CO $7,079KY $245
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.