How much rates vary
Facilitymedian $71 · 10th to 90th $48 to $166Professionalmedian $52 · 10th to 90th $48 to $76
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 $46.77 Median $67.61 Typical High $102.33 | Facility | None | $46.77 | $67.61 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $48.98 | Professional | None | $46.77 | $47.86 | $48.98 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $97.72 | Facility | None | $46.77 | $57.54 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | None | $46.77 | $47.86 | $47.86 |
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 $52.48 Median $74.13 Typical High $446.68 | Facility | None | $52.48 | $74.13 | $446.68 |
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 $58.88 Median $63.10 Typical High $66.07 | Professional | None | $58.88 | $63.10 | $66.07 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $23.44 Median $33.88 Typical High $51.29 | Facility | 52 · Reduced service | $23.44 | $33.88 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $13.49 Typical High $20.42 | Facility | 53 · Discontinued | $9.33 | $13.49 | $20.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $10.23 Typical High $15.14 | Facility | 55 · Aftercare only | $7.08 | $10.23 | $15.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.76 Typical High $10.23 | Facility | 56 · Pre-op care only | $4.68 | $6.76 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.99 Typical High $24.55 | Professional | 52 · Reduced service | $23.44 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.24 Typical High $7.41 | Professional | 55 · Aftercare only | $7.08 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.79 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.68 | $4.79 | $4.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $28.84 Typical High $48.98 | Facility | 52 · Reduced service | $23.44 | $28.84 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $11.48 Typical High $19.50 | Facility | 53 · Discontinued | $9.33 | $11.48 | $19.50 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $8.71 Typical High $14.45 | Facility | 55 · Aftercare only | $7.08 | $8.71 | $14.45 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.75 Typical High $9.77 | Facility | 56 · Pre-op care only | $4.68 | $5.75 | $9.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.44 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.77 | $9.77 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $7.08 | $7.24 | $7.24 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.68 | $4.79 | $4.79 |
Where Texas sits
The same service costs 1.6 times more in Alaska than in Pennsylvania. 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· 46th of 51
$52.48
AK $79.43PA $50.12
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.