How much rates vary
Facilitymedian $166 · 10th to 90th $129 to $316Professionalmedian $145 · 10th to 90th $112 to $2,188
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 $138.04 Median $138.04 Typical High $144.54 | Facility | None | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $165.96 | Professional | None | $128.82 | $141.25 | $165.96 |
BCBS Texas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Christus Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Lucent Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $173.78 Typical High $316.23 | Facility | None | $74.13 | $173.78 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $181.97 | Professional | None | $128.82 | $144.54 | $181.97 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $177.83 | Professional | None | $81.28 | $177.83 | $177.83 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $316.23 | Facility | None | $131.83 | $165.96 | $316.23 |
Providence Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
United Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $269.15 | Facility | None | $154.88 | $213.80 | $269.15 |
United Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $165.96 | Professional | None | $89.13 | $128.82 | $165.96 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
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 $66.07 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $66.07 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $26.30 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.38 Typical High $24.55 | Professional | 55 · Aftercare only | $19.95 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.13 Typical High $16.60 | Professional | 56 · Pre-op care only | $13.18 | $14.13 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $70.79 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $28.18 | $33.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $19.50 | $20.89 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $14.13 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.88 | $14.13 | $16.60 |
Where Texas sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 32nd of 51
$145
HI $525FL $120
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.