How much rates vary
Facilitymedian $933 · 10th to 90th $724 to $1,738Professionalmedian $912 · 10th to 90th $692 to $12,589
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 $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $977.24 | Professional | None | $741.31 | $794.33 | $977.24 |
BCBS Texas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | None | $812.83 | $812.83 | $1,000.00 |
Christus Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $12,589.25 Typical High $12,589.25 | Professional | None | $8,709.64 | $12,589.25 | $12,589.25 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $1,737.80 | Facility | None | $489.78 | $954.99 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,122.02 | Professional | None | $741.31 | $794.33 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,122.02 Typical High $1,122.02 | Professional | None | $81.28 | $1,122.02 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $1,737.80 | Facility | None | $724.44 | $933.25 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Facility | None | $1,737.80 | $1,737.80 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,071.52 | Professional | None | $575.44 | $831.76 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
8 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 Professional Modifier 52 · Reduced service Typical Low $371.54 Median $389.05 Typical High $489.78 | Professional | 52 · Reduced service | $371.54 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $194.98 | Professional | 53 · Discontinued | $147.91 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $144.54 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $97.72 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $389.05 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $158.49 | $190.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $93.33 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $93.33 |
Where Texas sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 37th of 51
$912
HI $1,778DE $692
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.