How much rates vary
Facilitymedian $7,413 · 10th to 90th $3,162 to $13,490Professionalmedian $3,890 · 10th to 90th $3,715 to $3,981
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 $3,890.45 Median $5,754.40 Typical High $8,317.64 | Facility | None | $3,890.45 | $5,754.40 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $4,073.80 | Professional | None | $3,890.45 | $3,981.07 | $4,073.80 |
BCBS Texas Setting Facility Modifier None Typical Low $2,884.03 Median $7,585.78 Typical High $14,125.38 | Facility | None | $2,884.03 | $7,585.78 | $14,125.38 |
BCBS Texas Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $7,413.10 Typical High $12,589.25 | Facility | None | $3,890.45 | $7,413.10 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Moda Health Setting Facility Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $7,943.28 | Facility | None | $3,801.89 | $4,786.30 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,890.45 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Providence Setting Facility Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $33,884.42 | Facility | None | $3,801.89 | $5,623.41 | $33,884.42 |
Providence Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $1,949.84 Median $3,019.95 Typical High $4,168.69 | Facility | 52 · Reduced service | $1,949.84 | $3,019.95 | $4,168.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $794.33 Median $1,230.27 Typical High $1,659.59 | Facility | 53 · Discontinued | $794.33 | $1,230.27 | $1,659.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $588.84 Median $912.01 Typical High $1,258.93 | Facility | 55 · Aftercare only | $588.84 | $912.01 | $1,258.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $389.05 Median $616.60 Typical High $831.76 | Facility | 56 · Pre-op care only | $389.05 | $616.60 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,995.26 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 53 · Discontinued | $794.33 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $436.52 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $1,949.84 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,905.46 | $1,949.84 | $1,995.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $776.25 Typical High $794.33 | Professional | 53 · Discontinued | $758.58 | $776.25 | $794.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $602.56 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $389.05 Typical High $398.11 | Professional | 56 · Pre-op care only | $380.19 | $389.05 | $398.11 |
Where Texas sits
The same service costs 11.0 times more in Alabama than in Oklahoma. 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· 5th of 51
$4,677
AL $23,442OK $2,138
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.