How much rates vary
Facilitymedian $89 · 10th to 90th $27 to $166Professionalmedian $52 · 10th to 90th $33 to $407
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 $64.57 Typical High $104.71 | Facility | None | $48.98 | $64.57 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $51.29 | Professional | None | $48.98 | $50.12 | $51.29 |
BCBS Texas Setting Facility Modifier None Typical Low $28.84 Median $97.72 Typical High $186.21 | Facility | None | $28.84 | $97.72 | $186.21 |
BCBS Texas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $165.96 | Facility | None | $52.48 | $77.62 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $8.91 Median $50.12 Typical High $100.00 | Facility | None | $8.91 | $50.12 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | None | $48.98 | $50.12 | $50.12 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.23 | Professional | None | $8.91 | $8.91 | $10.23 |
Oscar Health Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $33.11 | Professional | None | $9.55 | $19.05 | $33.11 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $72.44 Typical High $165.96 | Facility | None | $8.91 | $72.44 | $165.96 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | None | $50.12 | $52.48 | $56.23 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $24.55 Median $32.36 Typical High $52.48 | Facility | 52 · Reduced service | $24.55 | $32.36 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $12.88 Typical High $20.89 | Facility | 53 · Discontinued | $9.77 | $12.88 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $9.77 Typical High $15.85 | Facility | 55 · Aftercare only | $7.41 | $9.77 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.46 Typical High $10.47 | Facility | 56 · Pre-op care only | $4.90 | $6.46 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $10.23 | Professional | 53 · Discontinued | $9.77 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.01 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.90 | $5.01 | $5.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $29.51 Typical High $50.12 | Facility | 52 · Reduced service | $24.55 | $29.51 | $50.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $12.02 Typical High $19.95 | Facility | 53 · Discontinued | $9.77 | $12.02 | $19.95 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $7.24 Median $8.91 Typical High $15.14 | Facility | 55 · Aftercare only | $7.24 | $8.91 | $15.14 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.03 Typical High $10.00 | Facility | 56 · Pre-op care only | $4.90 | $6.03 | $10.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $9.77 | $10.00 | $10.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $7.24 | $7.41 | $7.41 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.01 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.90 | $5.01 | $5.01 |
Where Texas sits
The same service costs 6.6 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· 10th of 51
$52.48
AK $72.44HI $10.96
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.