How much rates vary
Facilitymedian $5,623 · 10th to 90th $3,981 to $15,488Professionalmedian $4,786 · 10th to 90th $3,981 to $6,310
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 $5,495.41 Typical High $8,317.64 | Facility | None | $3,890.45 | $5,495.41 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,890.45 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $15,488.17 | Facility | None | $4,786.30 | $7,244.36 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Lucent Health Setting Professional Modifier None Typical Low $14,454.40 Median $22,908.68 Typical High $22,908.68 | Professional | None | $14,454.40 | $22,908.68 | $22,908.68 |
Moda Health Setting Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $7,943.28 | Facility | None | $3,890.45 | $4,786.30 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,890.45 | $3,981.07 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $3,981.07 Median $6,760.83 Typical High $41,686.94 | Facility | None | $3,981.07 | $6,760.83 | $41,686.94 |
Providence Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
United Setting Professional Modifier None Typical Low $5,623.41 Median $6,025.60 Typical High $6,309.57 | Professional | None | $5,623.41 | $6,025.60 | $6,309.57 |
Wellpoint Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
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 $1,949.84 Median $2,754.23 Typical High $4,168.69 | Facility | 52 · Reduced service | $1,949.84 | $2,754.23 | $4,168.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $776.25 Median $1,096.48 Typical High $1,659.59 | Facility | 53 · Discontinued | $776.25 | $1,096.48 | $1,659.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $575.44 Median $831.76 Typical High $1,258.93 | Facility | 55 · Aftercare only | $575.44 | $831.76 | $1,258.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $389.05 Median $549.54 Typical High $831.76 | Facility | 56 · Pre-op care only | $389.05 | $549.54 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $588.84 Typical High $602.56 | Professional | 55 · Aftercare only | $575.44 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1,949.84 Median $2,344.23 Typical High $3,981.07 | Facility | 52 · Reduced service | $1,949.84 | $2,344.23 | $3,981.07 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $776.25 Median $954.99 Typical High $1,584.89 | Facility | 53 · Discontinued | $776.25 | $954.99 | $1,584.89 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $575.44 Median $707.95 Typical High $1,202.26 | Facility | 55 · Aftercare only | $575.44 | $707.95 | $1,202.26 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $389.05 Median $478.63 Typical High $794.33 | Facility | 56 · Pre-op care only | $389.05 | $478.63 | $794.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $1,995.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $776.25 | $794.33 | $794.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $575.44 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
Where Texas sits
The same service costs 1.5 times more in Alaska than in Idaho. 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· 30th of 51
$4,786
AK $6,457ID $4,169
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.