How much rates vary
Facilitymedian $589 · 10th to 90th $257 to $1,023Professionalmedian $832 · 10th to 90th $178 to $8,128
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 $691.83 Median $831.76 Typical High $933.25 | Facility | None | $691.83 | $831.76 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $831.76 Typical High $1,000.00 | Professional | None (both parts) | $691.83 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $141.25 | $165.96 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $660.69 Typical High $794.33 | Professional | TC · Technical part | $549.54 | $660.69 | $794.33 |
BCBS Texas Setting Facility Modifier None Typical Low $239.88 Median $549.54 Typical High $954.99 | Facility | None | $239.88 | $549.54 | $954.99 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $154.88 | $229.09 | $588.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $158.49 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $1,737.80 | Facility | None | $724.44 | $741.31 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $933.25 Typical High $1,479.11 | Professional | None (both parts) | $724.44 | $933.25 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $295.12 | Professional | 26 · Professional part | $151.36 | $194.98 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $741.31 Typical High $1,174.90 | Professional | TC · Technical part | $575.44 | $741.31 | $1,174.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $5,754.40 Typical High $8,128.31 | Professional | None (both parts) | $5,754.40 | $5,754.40 | $8,128.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Professional | 26 · Professional part | $1,445.44 | $1,445.44 | $1,548.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $6,606.93 Typical High $6,606.93 | Professional | TC · Technical part | $4,677.35 | $6,606.93 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $1,348.96 | Facility | None | $446.68 | $912.01 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $831.76 Typical High $1,000.00 | Professional | None (both parts) | $691.83 | $831.76 | $1,000.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $165.96 | $213.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $660.69 Typical High $794.33 | Professional | TC · Technical part | $549.54 | $660.69 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $162.18 | $177.83 | $208.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $1,202.26 | Professional | None (both parts) | $190.55 | $407.38 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,412.54 | Facility | None | $537.03 | $831.76 | $1,412.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $724.44 Median $933.25 Typical High $1,479.11 | Professional | None (both parts) | $724.44 | $933.25 | $1,479.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $295.12 | Professional | 26 · Professional part | $151.36 | $186.21 | $295.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $741.31 Typical High $1,122.02 | Professional | TC · Technical part | $575.44 | $741.31 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $776.25 Typical High $1,412.54 | Professional | None (both parts) | $457.09 | $776.25 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $190.55 Typical High $295.12 | Professional | 26 · Professional part | $144.54 | $190.55 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $616.60 Typical High $1,122.02 | Professional | TC · Technical part | $281.84 | $616.60 | $1,122.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $741.31 | $741.31 | $741.31 |
8 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 $346.74 Median $416.87 Typical High $489.78 | Professional | 52 · Reduced service | $346.74 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $199.53 | Professional | 53 · Discontinued | $138.04 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $104.71 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $100.00 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $416.87 Typical High $489.78 | Professional | 52 · Reduced service | $346.74 | $416.87 | $489.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $194.98 | Professional | 53 · Discontinued | $138.04 | $165.96 | $194.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $104.71 | $125.89 | $147.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $97.72 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $97.72 |
Where Texas sits
The same service costs 9.1 times more in Alaska 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· 38th of 51
$832
AK $2,188KY $240
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.