How much rates vary
Facilitymedian $1,175 · 10th to 90th $813 to $1,905Professionalmedian $1,122 · 10th to 90th $832 to $19,055
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 $831.76 Median $831.76 Typical High $870.96 | Facility | None | $831.76 | $831.76 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,096.48 | Professional | None | $812.83 | $870.96 | $1,096.48 |
BCBS Texas Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Christus Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $19,054.61 Typical High $19,054.61 | Professional | None | $12,302.69 | $19,054.61 | $19,054.61 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,905.46 | Facility | None | $602.56 | $1,047.13 | $1,905.46 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,513.56 | Professional | None | $812.83 | $870.96 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,000.00 Typical High $1,000.00 | Professional | None | $81.28 | $1,000.00 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,905.46 | Facility | None | $812.83 | $1,174.90 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,187.76 | Facility | None | $1,122.02 | $1,258.93 | $2,187.76 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,348.96 | Professional | None | $724.44 | $1,000.00 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $407.38 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $407.38 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $131.83 Typical High $162.18 | Professional | 55 · Aftercare only | $123.03 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $109.65 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $407.38 | $436.52 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $213.80 | Professional | 53 · Discontinued | $165.96 | $173.78 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $131.83 Typical High $162.18 | Professional | 55 · Aftercare only | $123.03 | $131.83 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $107.15 |
Where Texas sits
The same service costs 3.3 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· 37th of 51
$1,122
HI $2,818DE $851
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.