How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $25,704Professionalmedian $692 · 10th to 90th $4 to $692
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 $977.24 Median $4,168.69 Typical High $21,877.62 | Facility | None | $977.24 | $4,168.69 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $3,890.45 | Professional | None | $691.83 | $691.83 | $3,890.45 |
BCBS Texas Setting Facility Modifier None Typical Low $1,202.26 Median $2,691.53 Typical High $20,417.38 | Facility | None | $1,202.26 | $2,691.53 | $20,417.38 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $13,489.63 Typical High $21,379.62 | Facility | None | $891.25 | $13,489.63 | $21,379.62 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $3,715.35 Typical High $22,908.68 | Facility | None | $707.95 | $3,715.35 | $22,908.68 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $512.86 Typical High $537.03 | Professional | None | $54.95 | $512.86 | $537.03 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $18,197.01 Typical High $251,188.64 | Facility | None | $891.25 | $18,197.01 | $251,188.64 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $22,908.68 | Facility | None | $407.38 | $2,137.96 | $22,908.68 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
10 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 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Where Texas sits
The same service costs 6025.6 times more in Oklahoma than in Maine. 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· 23rd of 51
$2,138
OK $23,988ME $3.98
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.