How much rates vary
Facilitymedian $912 · 10th to 90th $741 to $1,738Professionalmedian $912 · 10th to 90th $661 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 $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,513.56 | Professional | None | $741.31 | $741.31 | $1,513.56 |
Christus 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 Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $10,964.78 Typical High $10,964.78 | Professional | None | $9,332.54 | $10,964.78 | $10,964.78 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,737.80 | Facility | None | $467.74 | $954.99 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,513.56 | Professional | None | $741.31 | $741.31 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $870.96 Typical High $870.96 | Professional | None | $81.28 | $870.96 | $870.96 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,737.80 | Facility | None | $741.31 | $912.01 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,659.59 | Facility | None | $812.83 | $954.99 | $1,659.59 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,096.48 | Professional | None | $602.56 | $912.01 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $371.54 Median $371.54 Typical High $741.31 | Professional | 52 · Reduced service | $371.54 | $371.54 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | 53 · Discontinued | $151.36 | $151.36 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $151.36 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $741.31 | Professional | 52 · Reduced service | $371.54 | $371.54 | $741.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | 53 · Discontinued | $151.36 | $151.36 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $223.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $151.36 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $151.36 |
Where Texas sits
The same service costs 3.2 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
$912
HI $2,138DE $661
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.