How much rates vary
Facilitymedian $6,918 · 10th to 90th $4,677 to $15,849Professionalmedian $5,012 · 10th to 90th $4,786 to $40,738
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 $4,677.35 Median $6,760.83 Typical High $10,000.00 | Facility | None | $4,677.35 | $6,760.83 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $4,897.79 | Professional | None | $4,677.35 | $4,786.30 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $15,848.93 | Facility | None | $5,011.87 | $7,413.10 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Lucent Health Setting Professional Modifier None Typical Low $24,547.09 Median $24,547.09 Typical High $40,738.03 | Professional | None | $24,547.09 | $24,547.09 | $40,738.03 |
Moda Health Setting Facility Modifier None Typical Low $4,677.35 Median $5,128.61 Typical High $9,549.93 | Facility | None | $4,677.35 | $5,128.61 | $9,549.93 |
Moda Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,677.35 | $4,786.30 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
Providence Setting Facility Modifier None Typical Low $3,890.45 Median $7,079.46 Typical High $42,657.95 | Facility | None | $3,890.45 | $7,079.46 | $42,657.95 |
Providence Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $5,495.41 | Professional | None | $4,897.79 | $5,128.61 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
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 $2,344.23 Median $3,388.44 Typical High $5,011.87 | Facility | 52 · Reduced service | $2,344.23 | $3,388.44 | $5,011.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $933.25 Median $1,348.96 Typical High $2,041.74 | Facility | 53 · Discontinued | $933.25 | $1,348.96 | $2,041.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $707.95 Median $1,000.00 Typical High $1,513.56 | Facility | 55 · Aftercare only | $707.95 | $1,000.00 | $1,513.56 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $467.74 Median $676.08 Typical High $1,000.00 | Facility | 56 · Pre-op care only | $467.74 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,398.83 Typical High $2,454.71 | Professional | 52 · Reduced service | $2,344.23 | $2,398.83 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $954.99 Typical High $977.24 | Professional | 53 · Discontinued | $933.25 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $707.95 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $478.63 Typical High $489.78 | Professional | 56 · Pre-op care only | $467.74 | $478.63 | $489.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,884.03 Typical High $4,786.30 | Facility | 52 · Reduced service | $2,344.23 | $2,884.03 | $4,786.30 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $933.25 Median $1,148.15 Typical High $1,949.84 | Facility | 53 · Discontinued | $933.25 | $1,148.15 | $1,949.84 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $707.95 Median $870.96 Typical High $1,445.44 | Facility | 55 · Aftercare only | $707.95 | $870.96 | $1,445.44 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $467.74 Median $575.44 Typical High $954.99 | Facility | 56 · Pre-op care only | $467.74 | $575.44 | $954.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,344.23 | $2,398.83 | $2,398.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $933.25 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $707.95 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $467.74 | $478.63 | $478.63 |
Where Texas sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 48th of 51
$5,012
AK $7,244NC $3,981
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.