How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,445 to $3,467Professionalmedian $1,778 · 10th to 90th $1,259 to $23,442
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 $1,479.11 Median $1,479.11 Typical High $1,621.81 | Facility | None | $1,479.11 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,479.11 | $3,019.95 |
BCBS Texas Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Christus Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $17,378.01 Median $23,442.29 Typical High $23,442.29 | Professional | None | $17,378.01 | $23,442.29 | $23,442.29 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $1,905.46 Typical High $3,467.37 | Facility | None | $891.25 | $1,905.46 | $3,467.37 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,479.11 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,041.74 Typical High $2,041.74 | Professional | None | $81.28 | $2,041.74 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $3,467.37 | Facility | None | $1,479.11 | $1,737.80 | $3,467.37 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,235.94 | Facility | None | $1,445.44 | $1,621.81 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,737.80 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $741.31 Median $741.31 Typical High $1,479.11 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $602.56 | Professional | 53 · Discontinued | $302.00 | $302.00 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $302.00 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $302.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,479.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $602.56 | Professional | 53 · Discontinued | $302.00 | $302.00 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $446.68 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $302.00 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $302.00 |
Where Texas sits
The same service costs 2.7 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· 26th of 51
$1,778
HI $3,388DE $1,259
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.