How much rates vary
Facilitymedian $955 · 10th to 90th $501 to $1,738Professionalmedian $977 · 10th to 90th $708 to $11,749
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 $758.58 Median $758.58 Typical High $812.83 | Facility | None | $758.58 | $758.58 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,513.56 | Professional | None | $758.58 | $758.58 | $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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $11,748.98 Typical High $11,748.98 | Professional | None | $10,232.93 | $11,748.98 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $1,737.80 | Facility | None | $501.19 | $977.24 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,513.56 | Professional | None | $758.58 | $758.58 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $933.25 Typical High $933.25 | Professional | None | $81.28 | $933.25 | $933.25 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $1,737.80 | Facility | None | $741.31 | $954.99 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $1,778.28 | Facility | None | $173.78 | $1,023.29 | $1,778.28 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,148.15 | Professional | None | $645.65 | $954.99 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $380.19 Median $380.19 Typical High $758.58 | Professional | 52 · Reduced service | $380.19 | $380.19 | $758.58 |
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 $75.86 Median $75.86 Typical High $151.36 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $758.58 | Professional | 52 · Reduced service | $380.19 | $380.19 | $758.58 |
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 $75.86 Median $75.86 Typical High $151.36 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $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· 38th of 51
$955
HI $2,239DE $708
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.