How much rates vary
Facilitymedian $105 · 10th to 90th $32 to $195Professionalmedian $29 · 10th to 90th $25 to $65
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 $27.54 Median $34.67 Typical High $53.70 | Facility | None | $27.54 | $34.67 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | None | $28.84 | $28.84 | $29.51 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $125.89 Typical High $204.17 | Facility | None | $46.77 | $125.89 | $204.17 |
BCBS Texas Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $54.95 Typical High $91.20 | Facility | None | $28.84 | $54.95 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Lucent Health Setting Professional Modifier None Typical Low $22.91 Median $56.23 Typical High $67.61 | Professional | None | $22.91 | $56.23 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $30.90 Typical High $169.82 | Facility | None | $24.55 | $30.90 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | None | $24.55 | $24.55 | $25.70 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | None | $19.95 | $19.95 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $91.20 | Professional | None | $26.92 | $46.77 | $91.20 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $245.47 | Facility | None | $28.84 | $40.74 | $245.47 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $28.18 | Professional | None | $24.55 | $26.30 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
16 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 $13.80 Median $17.38 Typical High $26.92 | Facility | 52 · Reduced service | $13.80 | $17.38 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $6.92 Typical High $10.72 | Facility | 53 · Discontinued | $5.50 | $6.92 | $10.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.17 Median $5.25 Typical High $8.13 | Facility | 55 · Aftercare only | $4.17 | $5.25 | $8.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.47 Typical High $5.37 | Facility | 56 · Pre-op care only | $2.75 | $3.47 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $2.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $15.14 Typical High $30.20 | Facility | 52 · Reduced service | $12.30 | $15.14 | $30.20 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $6.03 Typical High $12.02 | Facility | 53 · Discontinued | $4.90 | $6.03 | $12.02 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $3.72 Median $4.47 Typical High $8.91 | Facility | 55 · Aftercare only | $3.72 | $4.47 | $8.91 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.02 Typical High $6.03 | Facility | 56 · Pre-op care only | $2.45 | $3.02 | $6.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.57 |
Where Texas sits
The same service costs 2.8 times more in Wyoming than in Arizona. 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· 33rd of 51
$28.84
WY $67.61AZ $24.55
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.