How much rates vary
Facilitymedian $302 · 10th to 90th $112 to $562Professionalmedian $98 · 10th to 90th $16 to $912
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 $67.61 Median $120.23 Typical High $309.03 | Facility | None | $67.61 | $120.23 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $125.89 | Professional | None | $67.61 | $93.33 | $125.89 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $575.44 | Facility | None | $141.25 | $323.59 | $575.44 |
BCBS Texas Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $158.49 | Professional | None | $85.11 | $117.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $331.13 | Facility | None | $107.15 | $107.15 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Professional | None | $75.86 | $100.00 | $151.36 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $3,162.28 Typical High $3,162.28 | Professional | None | $912.01 | $3,162.28 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $120.23 Typical High $295.12 | Facility | None | $67.61 | $120.23 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $131.83 | Professional | None | $67.61 | $93.33 | $131.83 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $79.43 Typical High $109.65 | Professional | None | $14.45 | $79.43 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $100.00 Median $208.93 Typical High $389.05 | Professional | None | $100.00 | $208.93 | $389.05 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $151.36 | Facility | None | $79.43 | $114.82 | $151.36 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $147.91 | Professional | None | $75.86 | $97.72 | $147.91 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $691.83 | Facility | None | $501.19 | $524.81 | $691.83 |
United Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $147.91 | Professional | None | $79.43 | $104.71 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
16 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 Facility Modifier 52 · Reduced service Typical Low $33.88 Median $60.26 Typical High $154.88 | Facility | 52 · Reduced service | $33.88 | $60.26 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $23.99 Typical High $63.10 | Facility | 53 · Discontinued | $13.49 | $23.99 | $63.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $17.78 Typical High $46.77 | Facility | 55 · Aftercare only | $10.00 | $17.78 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $12.02 Typical High $30.90 | Facility | 56 · Pre-op care only | $6.76 | $12.02 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $45.71 Typical High $63.10 | Professional | 52 · Reduced service | $33.88 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $13.49 | $18.62 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.80 Typical High $19.05 | Professional | 55 · Aftercare only | $10.00 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.33 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.76 | $9.33 | $12.59 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $60.26 Typical High $151.36 | Facility | 52 · Reduced service | $33.88 | $60.26 | $151.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $23.99 Typical High $60.26 | Facility | 53 · Discontinued | $13.49 | $23.99 | $60.26 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $17.78 Typical High $44.67 | Facility | 55 · Aftercare only | $10.00 | $17.78 | $44.67 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $12.02 Typical High $30.20 | Facility | 56 · Pre-op care only | $6.76 | $12.02 | $30.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $33.88 | $44.67 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $13.49 | $18.20 | $22.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.49 Typical High $16.60 | Professional | 55 · Aftercare only | $10.00 | $13.49 | $16.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.12 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.76 | $9.12 | $11.22 |
Where Texas sits
The same service costs 3.0 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
$97.72
AK $275FL $91.20
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.