How much rates vary
Facilitymedian $83 · 10th to 90th $35 to $708Professionalmedian $93 · 10th to 90th $42 to $955
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 $44.67 Median $45.71 Typical High $107.15 | Facility | None | $44.67 | $45.71 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $51.29 | Professional | None | $38.02 | $44.67 | $51.29 |
BCBS Texas Setting Facility Modifier None Typical Low $29.51 Median $56.23 Typical High $109.65 | Facility | None | $29.51 | $56.23 | $109.65 |
BCBS Texas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Christus Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $218.78 Typical High $302.00 | Facility | None | $93.33 | $218.78 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $954.99 | Professional | None | $616.60 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $107.15 | Facility | None | $33.88 | $42.66 | $107.15 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $50.12 | Professional | None | $38.02 | $44.67 | $50.12 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $107.15 | Professional | None | $81.28 | $91.20 | $107.15 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $104.71 Typical High $794.33 | Facility | None | $44.67 | $104.71 | $794.33 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None | $42.66 | $42.66 | $43.65 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
5 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 55 · Aftercare only Typical Low $5.75 Median $6.76 Typical High $7.76 | Professional | 55 · Aftercare only | $5.75 | $6.76 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.47 Typical High $5.25 | Professional | 56 · Pre-op care only | $3.80 | $4.47 | $5.25 |
Moda Health Setting Facility Modifier JZ · No drug discarded Typical Low $26.30 Median $33.88 Typical High $56.23 | Facility | JZ · No drug discarded | $26.30 | $33.88 | $56.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.61 Typical High $7.41 | Professional | 55 · Aftercare only | $5.75 | $6.61 | $7.41 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.47 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.80 | $4.47 | $5.01 |
Where Texas sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 1st of 51
$93.33
TX $93.33CT $36.31
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.