How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,072 to $2,512Professionalmedian $1,479 · 10th to 90th $1,122 to $18,197
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 $1,122.02 Median $1,122.02 Typical High $1,148.15 | Facility | None | $1,122.02 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,148.15 | $1,445.44 |
BCBS Texas Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Christus Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $15,488.17 Median $18,197.01 Typical High $18,197.01 | Professional | None | $15,488.17 | $18,197.01 | $18,197.01 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $2,511.89 | Facility | None | $758.58 | $1,412.54 | $2,511.89 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,148.15 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,380.38 Typical High $1,380.38 | Professional | None | $81.28 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,511.89 | Facility | None | $1,071.52 | $1,548.82 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,584.89 | $1,659.59 | $2,691.53 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,698.24 | Professional | None | $912.01 | $1,318.26 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
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 $549.54 Median $575.44 Typical High $724.44 | Professional | 52 · Reduced service | $549.54 | $575.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $114.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $109.65 | $114.82 | $144.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $575.44 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $229.09 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $114.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $109.65 | $114.82 | $144.54 |
Where Texas sits
The same service costs 3.1 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· 33rd of 51
$1,479
HI $3,467DE $1,122
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.