How much rates vary
Facilitymedian $851 · 10th to 90th $692 to $1,660Professionalmedian $759 · 10th to 90th $631 to $13,183
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 $724.44 Median $724.44 Typical High $758.58 | Facility | None | $724.44 | $724.44 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $912.01 | Professional | None | $707.95 | $758.58 | $912.01 |
BCBS Texas Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Christus Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
Lucent Health Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | None | $13,182.57 | $13,182.57 | $13,182.57 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $1,659.59 | Facility | None | $446.68 | $912.01 | $1,659.59 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $1,230.27 | Professional | None | $707.95 | $758.58 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $954.99 Typical High $954.99 | Professional | None | $81.28 | $954.99 | $954.99 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,659.59 | Facility | None | $691.83 | $851.14 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,584.89 | Facility | None | $912.01 | $1,318.26 | $1,584.89 |
United Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $977.24 | Professional | None | $524.81 | $758.58 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $354.81 Median $380.19 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $75.86 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $75.86 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $380.19 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $380.19 | $446.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $151.36 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $75.86 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $75.86 | $91.20 |
Where Texas sits
The same service costs 5.1 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· 31st of 51
$832
HI $3,236DE $631
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.