How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,399 to $14,125Professionalmedian $1,862 · 10th to 90th $1,862 to $1,905
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 $1,905.46 Median $2,951.21 Typical High $3,981.07 | Facility | None | $1,905.46 | $2,951.21 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,905.46 | $1,905.46 | $2,089.30 |
BCBS Texas Setting Facility Modifier None Typical Low $3,311.31 Median $8,511.38 Typical High $14,125.38 | Facility | None | $3,311.31 | $8,511.38 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,630.78 Typical High $6,025.60 | Facility | None | $1,905.46 | $3,630.78 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $7,413.10 | Facility | None | $1,862.09 | $2,630.27 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,862.09 | $1,862.09 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $16,218.10 | Facility | None | $1,905.46 | $2,754.23 | $16,218.10 |
Providence Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
12 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 $954.99 Median $1,479.11 Typical High $1,995.26 | Facility | 52 · Reduced service | $954.99 | $1,479.11 | $1,995.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $380.19 Median $588.84 Typical High $794.33 | Facility | 53 · Discontinued | $380.19 | $588.84 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | 55 · Aftercare only | $288.40 | $436.52 | $602.56 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $190.55 Median $295.12 Typical High $398.11 | Facility | 56 · Pre-op care only | $190.55 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $380.19 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $933.25 Typical High $954.99 | Professional | 52 · Reduced service | $912.01 | $933.25 | $954.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | 53 · Discontinued | $371.54 | $371.54 | $380.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $275.42 | $281.84 | $288.40 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $190.55 |
Where Texas sits
The same service costs 2.3 times more in Texas than in Maryland. 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
$4,266
TX $4,266MD $1,862
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.