How much rates vary
Facilitymedian $891 · 10th to 90th $617 to $1,479Professionalmedian $871 · 10th to 90th $646 to $10,965
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 $645.65 Median $645.65 Typical High $676.08 | Facility | None | $645.65 | $645.65 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $851.14 | Professional | None | $630.96 | $676.08 | $851.14 |
BCBS Texas Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $851.14 | Professional | None | $691.83 | $851.14 | $851.14 |
Christus Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $10,964.78 Typical High $10,964.78 | Professional | None | $8,511.38 | $10,964.78 | $10,964.78 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $1,479.11 | Facility | None | $457.09 | $812.83 | $1,479.11 |
Moda Health Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $1,071.52 | Professional | None | $630.96 | $676.08 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $831.76 Typical High $831.76 | Professional | None | $81.28 | $831.76 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,479.11 | Facility | None | $616.60 | $891.25 | $1,479.11 |
Providence Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,659.59 | Facility | None | $707.95 | $870.96 | $1,659.59 |
United Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,023.29 | Professional | None | $549.54 | $776.25 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $316.23 Median $331.13 Typical High $426.58 | Professional | 52 · Reduced service | $316.23 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $169.82 | Professional | 53 · Discontinued | $125.89 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $85.11 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $331.13 Typical High $416.87 | Professional | 52 · Reduced service | $316.23 | $331.13 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $165.96 | Professional | 53 · Discontinued | $125.89 | $134.90 | $165.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $83.18 |
Where Texas sits
The same service costs 3.0 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· 24th of 51
$891
HI $1,950DE $646
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.