How much rates vary
Facilitymedian $832 · 10th to 90th $562 to $1,349Professionalmedian $741 · 10th to 90th $589 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 $588.84 Median $588.84 Typical High $616.60 | Facility | None | $588.84 | $588.84 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $758.58 | Professional | None | $575.44 | $616.60 | $758.58 |
BCBS Texas Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Christus Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
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 $426.58 Median $741.31 Typical High $1,348.96 | Facility | None | $426.58 | $741.31 | $1,348.96 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,023.29 | Professional | None | $575.44 | $616.60 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $741.31 Typical High $741.31 | Professional | None | $81.28 | $741.31 | $741.31 |
Providence Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,348.96 | Facility | None | $562.34 | $831.76 | $1,348.96 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,513.56 | Facility | None | $870.96 | $1,348.96 | $1,513.56 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $933.25 | Professional | None | $501.19 | $707.95 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $288.40 Median $302.00 Typical High $380.19 | Professional | 52 · Reduced service | $288.40 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $114.82 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $61.66 Typical High $75.86 | Professional | 56 · Pre-op care only | $57.54 | $61.66 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $302.00 Typical High $371.54 | Professional | 52 · Reduced service | $288.40 | $302.00 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $147.91 | Professional | 53 · Discontinued | $114.82 | $123.03 | $147.91 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $57.54 | $61.66 | $74.13 |
Where Texas sits
The same service costs 5.4 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· 39th of 51
$741
HI $3,236DE $603
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.