How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,380 to $3,311Professionalmedian $1,622 · 10th to 90th $1,413 to $26,303
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 $1,445.44 Median $1,445.44 Typical High $1,513.56 | Facility | None | $1,445.44 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,513.56 | $1,905.46 |
Christus Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $26,302.68 Median $26,302.68 Typical High $26,302.68 | Professional | None | $26,302.68 | $26,302.68 | $26,302.68 |
Moda Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $3,311.31 | Facility | None | $1,047.13 | $1,819.70 | $3,311.31 |
Moda Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,513.56 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,698.24 Typical High $1,698.24 | Professional | None | $81.28 | $1,698.24 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Providence Setting Facility Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,380.38 | $1,995.26 | $3,311.31 |
Providence Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $3,715.35 | Facility | None | $2,137.96 | $2,951.21 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,737.80 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $707.95 Median $741.31 Typical High $954.99 | Professional | 52 · Reduced service | $707.95 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $281.84 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | 55 · Aftercare only | $213.80 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $151.36 Typical High $190.55 | Professional | 56 · Pre-op care only | $141.25 | $151.36 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $741.31 Typical High $933.25 | Professional | 52 · Reduced service | $707.95 | $741.31 | $933.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $371.54 | Professional | 53 · Discontinued | $281.84 | $302.00 | $371.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | 55 · Aftercare only | $213.80 | $223.87 | $281.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $151.36 Typical High $186.21 | Professional | 56 · Pre-op care only | $141.25 | $151.36 | $186.21 |
Where Texas sits
The same service costs 4.4 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· 46th of 51
$1,698
HI $6,457DE $1,479
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.