How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,000 to $2,344Professionalmedian $1,380 · 10th to 90th $1,023 to $17,378
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 $1,023.29 Median $1,023.29 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,071.52 | $1,348.96 |
BCBS Texas Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Christus Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $14,791.08 Median $17,378.01 Typical High $17,378.01 | Professional | None | $14,791.08 | $17,378.01 | $17,378.01 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,288.25 Typical High $2,344.23 | Facility | None | $741.31 | $1,288.25 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,071.52 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,258.93 Typical High $1,258.93 | Professional | None | $81.28 | $1,258.93 | $1,258.93 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $2,344.23 | Facility | None | $1,000.00 | $1,698.24 | $2,344.23 |
Providence Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,513.56 | $1,513.56 | $2,630.27 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,621.81 | Professional | None | $870.96 | $1,230.27 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $501.19 Median $537.03 Typical High $676.08 | Professional | 52 · Reduced service | $501.19 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $213.80 Typical High $269.15 | Professional | 53 · Discontinued | $204.17 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $134.90 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $537.03 | $660.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $213.80 Typical High $269.15 | Professional | 53 · Discontinued | $204.17 | $213.80 | $269.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $199.53 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $134.90 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $134.90 |
Where Texas sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 33rd of 51
$1,380
HI $3,388AZ $1,230
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.