How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,445 to $3,388Professionalmedian $1,820 · 10th to 90th $1,318 to $29,512
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 $1,584.89 | Facility | None | $1,479.11 | $1,479.11 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,479.11 | $2,951.21 |
BCBS Texas Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Christus Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $29,512.09 Typical High $29,512.09 | Professional | None | $19,498.45 | $29,512.09 | $29,512.09 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $3,388.44 | Facility | None | $933.25 | $1,905.46 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,479.11 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,737.80 Typical High $1,737.80 | Professional | None | $81.28 | $1,737.80 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,388.44 | Facility | None | $1,445.44 | $1,819.70 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,388.44 | Facility | None | $1,778.28 | $2,041.74 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,819.70 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $295.12 Median $295.12 Typical High $588.84 | Professional | 53 · Discontinued | $295.12 | $295.12 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $295.12 |
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 $295.12 Median $295.12 Typical High $588.84 | Professional | 53 · Discontinued | $295.12 | $295.12 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $436.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $295.12 |
Where Texas sits
The same service costs 3.1 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· 30th of 51
$1,820
HI $4,074DE $1,318
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.