How much rates vary
Facilitymedian $224 · 10th to 90th $81 to $427Professionalmedian $66 · 10th to 90th $10 to $490
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 $47.86 Median $85.11 Typical High $218.78 | Facility | None | $47.86 | $85.11 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $91.20 | Professional | None | $47.86 | $64.57 | $91.20 |
BCBS Texas Setting Facility Modifier None Typical Low $107.15 Median $239.88 Typical High $426.58 | Facility | None | $107.15 | $239.88 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $79.43 Typical High $89.13 | Facility | None | $46.77 | $79.43 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $112.20 | Professional | None | $53.70 | $72.44 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $47.86 Median $85.11 Typical High $162.18 | Facility | None | $47.86 | $85.11 | $162.18 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $93.33 | Professional | None | $47.86 | $66.07 | $93.33 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $52.48 Typical High $72.44 | Professional | None | $9.55 | $52.48 | $72.44 |
Oscar Health Setting Professional Modifier None Typical Low $72.44 Median $151.36 Typical High $275.42 | Professional | None | $72.44 | $151.36 | $275.42 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $104.71 | Facility | None | $47.86 | $79.43 | $104.71 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $107.15 | Professional | None | $53.70 | $69.18 | $107.15 |
United Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $97.72 | Facility | None | $70.79 | $74.13 | $97.72 |
United Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $109.65 | Professional | None | $60.26 | $79.43 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $23.44 Median $42.66 Typical High $109.65 | Facility | 52 · Reduced service | $23.44 | $42.66 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $16.98 Typical High $43.65 | Facility | 53 · Discontinued | $9.55 | $16.98 | $43.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $12.59 Typical High $33.11 | Facility | 55 · Aftercare only | $7.08 | $12.59 | $33.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $8.51 Typical High $21.88 | Facility | 56 · Pre-op care only | $4.79 | $8.51 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $32.36 Typical High $45.71 | Professional | 52 · Reduced service | $23.44 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.88 Typical High $18.20 | Professional | 53 · Discontinued | $9.55 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $9.77 Typical High $13.80 | Professional | 55 · Aftercare only | $7.08 | $9.77 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.46 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.79 | $6.46 | $9.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $42.66 Typical High $107.15 | Facility | 52 · Reduced service | $23.44 | $42.66 | $107.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $16.98 Typical High $42.66 | Facility | 53 · Discontinued | $9.55 | $16.98 | $42.66 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $12.59 Typical High $31.62 | Facility | 55 · Aftercare only | $7.08 | $12.59 | $31.62 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $8.51 Typical High $21.38 | Facility | 56 · Pre-op care only | $4.79 | $8.51 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $23.44 | $31.62 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $9.55 | $12.59 | $15.85 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $9.55 Typical High $12.02 | Professional | 55 · Aftercare only | $7.08 | $9.55 | $12.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.31 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.79 | $6.31 | $7.94 |
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
$66.07
AK $195FL $64.57
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.