How much rates vary
Facilitymedian $525 · 10th to 90th $195 to $977Professionalmedian $158 · 10th to 90th $26 to $1,122
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 $109.65 Median $194.98 Typical High $512.86 | Facility | None | $109.65 | $194.98 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $213.80 | Professional | None | $109.65 | $151.36 | $213.80 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $562.34 Typical High $1,000.00 | Facility | None | $245.47 | $562.34 | $1,000.00 |
BCBS Texas Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $309.03 | Professional | None | $125.89 | $186.21 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $331.13 | Facility | None | $181.97 | $181.97 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $251.19 | Professional | None | $125.89 | $165.96 | $251.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,122.02 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $194.98 Typical High $489.78 | Facility | None | $109.65 | $194.98 | $489.78 |
Moda Health Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $218.78 | Professional | None | $109.65 | $151.36 | $218.78 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $131.83 Typical High $181.97 | Professional | None | $23.99 | $131.83 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $645.65 | Professional | None | $165.96 | $346.74 | $645.65 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $186.21 Typical High $251.19 | Facility | None | $109.65 | $186.21 | $251.19 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $245.47 | Professional | None | $125.89 | $162.18 | $245.47 |
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 $138.04 Median $181.97 Typical High $251.19 | Professional | None | $138.04 | $181.97 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $54.95 Median $97.72 Typical High $257.04 | Facility | 52 · Reduced service | $54.95 | $97.72 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $102.33 | Facility | 53 · Discontinued | $21.88 | $38.90 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $29.51 Typical High $77.62 | Facility | 55 · Aftercare only | $16.60 | $29.51 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $19.50 Typical High $51.29 | Facility | 56 · Pre-op care only | $10.96 | $19.50 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $54.95 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $21.88 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $22.91 Typical High $31.62 | Professional | 55 · Aftercare only | $16.60 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.14 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.96 | $15.14 | $21.38 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $97.72 Typical High $245.47 | Facility | 52 · Reduced service | $54.95 | $97.72 | $245.47 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $97.72 | Facility | 53 · Discontinued | $21.88 | $38.90 | $97.72 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $29.51 Typical High $74.13 | Facility | 55 · Aftercare only | $16.60 | $29.51 | $74.13 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $19.50 Typical High $48.98 | Facility | 56 · Pre-op care only | $10.96 | $19.50 | $48.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $74.13 Typical High $91.20 | Professional | 52 · Reduced service | $54.95 | $74.13 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $21.88 | $29.51 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $22.39 Typical High $27.54 | Professional | 55 · Aftercare only | $16.60 | $22.39 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $14.79 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.96 | $14.79 | $18.62 |
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
$158
AK $447FL $155
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.