How much rates vary
Facilitymedian $4,898 · 10th to 90th $2,754 to $6,607Professionalmedian $3,548 · 10th to 90th $2,818 to $47,863
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 $2,818.38 Median $2,818.38 Typical High $3,019.95 | Facility | None | $2,818.38 | $2,818.38 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,623.41 | Professional | None | $2,818.38 | $2,818.38 | $5,623.41 |
Christus Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Lucent Health Setting Professional Modifier None Typical Low $47,863.01 Median $47,863.01 Typical High $47,863.01 | Professional | None | $47,863.01 | $47,863.01 | $47,863.01 |
Moda Health Setting Facility Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $6,606.93 | Facility | None | $1,995.26 | $3,630.78 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,623.41 | Professional | None | $2,818.38 | $2,818.38 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $3,548.13 Typical High $3,548.13 | Professional | None | $81.28 | $3,548.13 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $2,754.23 Median $4,897.79 Typical High $6,606.93 | Facility | None | $2,754.23 | $4,897.79 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $7,079.46 | Facility | None | $4,073.80 | $5,370.32 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $4,677.35 | Professional | None | $2,570.40 | $3,890.45 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $1,122.02 | Professional | 53 · Discontinued | $562.34 | $562.34 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $851.14 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $281.84 Typical High $562.34 | Professional | 56 · Pre-op care only | $281.84 | $281.84 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $2,818.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $1,122.02 | Professional | 53 · Discontinued | $562.34 | $562.34 | $1,122.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $851.14 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $851.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $281.84 Typical High $562.34 | Professional | 56 · Pre-op care only | $281.84 | $281.84 | $562.34 |
Where Texas sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 38th of 51
$3,715
HI $11,482DC $3,311
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.