How much rates vary
Facilitymedian $437 · 10th to 90th $295 to $1,023Professionalmedian $324 · 10th to 90th $302 to $1,318
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 $295.12 Median $398.11 Typical High $645.65 | Facility | None | $295.12 | $398.11 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $309.03 | Professional | None | $295.12 | $302.00 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $1,023.29 | Facility | None | $323.59 | $478.63 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $323.59 Typical High $616.60 | Facility | None | $154.88 | $323.59 | $616.60 |
Moda Health Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $309.03 | Professional | None | $295.12 | $302.00 | $309.03 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $2,754.23 | Facility | None | $302.00 | $457.09 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $346.74 | Professional | None | $309.03 | $331.13 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $147.91 Median $199.53 Typical High $323.59 | Facility | 52 · Reduced service | $147.91 | $199.53 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $79.43 Typical High $128.82 | Facility | 53 · Discontinued | $58.88 | $79.43 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $58.88 Typical High $95.50 | Facility | 55 · Aftercare only | $44.67 | $58.88 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $39.81 Typical High $64.57 | Facility | 56 · Pre-op care only | $29.51 | $39.81 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $147.91 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $58.88 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $45.71 Typical High $46.77 | Professional | 55 · Aftercare only | $44.67 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $30.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $147.91 Median $181.97 Typical High $309.03 | Facility | 52 · Reduced service | $147.91 | $181.97 | $309.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $123.03 | Facility | 53 · Discontinued | $58.88 | $72.44 | $123.03 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $54.95 Typical High $91.20 | Facility | 55 · Aftercare only | $44.67 | $54.95 | $91.20 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $36.31 Typical High $61.66 | Facility | 56 · Pre-op care only | $29.51 | $36.31 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $147.91 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $44.67 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $30.20 |
Where Texas sits
The same service costs 2.3 times more in Alaska than in Montana. 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· 19th of 51
$324
AK $468MT $204
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.