How much rates vary
Facilitymedian $1,318 · 10th to 90th $933 to $2,239Professionalmedian $1,259 · 10th to 90th $955 to $21,380
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 $977.24 Median $977.24 Typical High $1,023.29 | Facility | None | $977.24 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,258.93 | Professional | None | $954.99 | $1,023.29 | $1,258.93 |
BCBS Texas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,047.13 | $1,318.26 |
Christus Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $13,489.63 Median $21,379.62 Typical High $21,379.62 | Professional | None | $13,489.63 | $21,379.62 | $21,379.62 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $2,238.72 | Facility | None | $676.08 | $1,230.27 | $2,238.72 |
Moda Health Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,737.80 | Professional | None | $954.99 | $1,023.29 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,174.90 Typical High $1,174.90 | Professional | None | $81.28 | $1,174.90 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $2,238.72 | Facility | None | $933.25 | $1,318.26 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,398.83 | Facility | None | $1,122.02 | $1,258.93 | $2,398.83 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,479.11 | Professional | None | $794.33 | $1,148.15 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $478.63 Median $512.86 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $204.17 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $190.55 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $102.33 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $512.86 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $512.86 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $204.17 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $204.17 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $190.55 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $102.33 | $125.89 |
Where Texas sits
The same service costs 2.9 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· 34th of 51
$1,288
HI $2,754DE $955
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.