How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,202 to $5,248Professionalmedian $1,259 · 10th to 90th $1,202 to $1,514
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 $1,258.93 Median $1,819.70 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,819.70 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,258.93 | $1,445.44 |
BCBS Texas Setting Facility Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $5,248.07 | Facility | None | $1,148.15 | $2,818.38 | $5,248.07 |
BCBS Texas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $4,073.80 | Facility | None | $1,288.25 | $1,949.84 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,511.89 | Facility | None | $1,202.26 | $1,513.56 | $2,511.89 |
Moda Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,258.93 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $10,964.78 | Facility | None | $1,202.26 | $1,548.82 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $616.60 Median $954.99 Typical High $1,318.26 | Facility | 52 · Reduced service | $616.60 | $954.99 | $1,318.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $380.19 Typical High $524.81 | Facility | 53 · Discontinued | $251.19 | $380.19 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $186.21 Median $288.40 Typical High $389.05 | Facility | 55 · Aftercare only | $186.21 | $288.40 | $389.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $190.55 Typical High $263.03 | Facility | 56 · Pre-op care only | $125.89 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $616.60 Typical High $724.44 | Professional | 52 · Reduced service | $602.56 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $251.19 Typical High $288.40 | Professional | 53 · Discontinued | $245.47 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $186.21 Typical High $218.78 | Professional | 55 · Aftercare only | $181.97 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $125.89 Typical High $144.54 | Professional | 56 · Pre-op care only | $120.23 | $125.89 | $144.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $602.56 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $245.47 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $181.97 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $120.23 | $125.89 | $125.89 |
Where Texas sits
The same service costs 1.8 times more in Alaska than in Hawaii. 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· 3rd of 51
$1,820
AK $2,042HI $1,148
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.