How much rates vary
Facilitymedian $282 · 10th to 90th $95 to $617Professionalmedian $79 · 10th to 90th $47 to $575
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 $64.57 Median $77.62 Typical High $83.18 | Facility | None | $64.57 | $77.62 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $64.57 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.90 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.49 Typical High $19.05 | Professional | 53 · Discontinued | $12.88 | $15.49 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.75 Typical High $14.13 | Professional | 55 · Aftercare only | $9.77 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.46 | $7.76 | $9.55 |
BCBS Texas Setting Facility Modifier None Typical Low $131.83 Median $302.00 Typical High $660.69 | Facility | None | $131.83 | $302.00 | $660.69 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $72.44 | $102.33 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $616.60 | Facility | None | $87.10 | $204.17 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $66.07 | $87.10 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $537.03 | $537.03 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $162.18 | Facility | None | $69.18 | $93.33 | $162.18 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $64.57 | $77.62 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.90 Typical High $46.77 | Professional | 52 · Reduced service | $32.36 | $38.90 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.49 Typical High $18.62 | Professional | 53 · Discontinued | $12.88 | $15.49 | $18.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.75 Typical High $14.13 | Professional | 55 · Aftercare only | $9.77 | $11.75 | $14.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.76 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.46 | $7.76 | $9.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $10.47 | $58.88 | $74.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $70.79 | $128.82 | $162.18 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $489.78 | Facility | None | $69.18 | $112.20 | $489.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $66.07 | $87.10 | $131.83 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $776.25 | Facility | None | $562.34 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $72.44 | $97.72 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
6 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 TC · Technical part Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $91.20 | $112.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $125.89 | $194.98 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $93.33 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $125.89 | $194.98 |
Where Texas sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 49th of 51
$81.28
AK $219FL $75.86
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.