How much rates vary
Facilitymedian $65 · 10th to 90th $60 to $91Professionalmedian $55 · 10th to 90th $47 to $631
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 $48.98 Median $52.48 Typical High $77.62 | Facility | None | $48.98 | $52.48 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $77.62 | Professional | None | $46.77 | $57.54 | $77.62 |
Christus Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | None | $489.78 | $630.96 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $91.20 | Facility | None | $60.26 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $83.18 | Professional | None | $48.98 | $58.88 | $83.18 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | None | $46.77 | $46.77 | $81.28 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $64.57 Typical High $91.20 | Facility | None | $60.26 | $64.57 | $91.20 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $93.33 | Professional | None | $38.02 | $54.95 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 $23.44 Median $28.84 Typical High $38.90 | Professional | 52 · Reduced service | $23.44 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.48 Typical High $15.49 | Professional | 53 · Discontinued | $9.55 | $11.48 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.51 Typical High $11.75 | Professional | 55 · Aftercare only | $7.08 | $8.51 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.75 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.68 | $5.75 | $7.76 |
Cigna Setting Facility Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | RR · Rental | $64.57 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $28.84 Typical High $38.90 | Professional | 52 · Reduced service | $23.99 | $28.84 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.48 Typical High $15.49 | Professional | 53 · Discontinued | $9.55 | $11.48 | $15.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $8.51 Typical High $11.75 | Professional | 55 · Aftercare only | $7.24 | $8.51 | $11.75 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.75 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.79 | $5.75 | $7.76 |
Providence Setting Facility Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | RR · Rental | $64.57 | $64.57 | $64.57 |
Where Texas sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 45th of 51
$54.95
HI $115RI $46.77
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.