How much rates vary
Facilitymedian $1,288 · 10th to 90th $1,023 to $2,399Professionalmedian $1,318 · 10th to 90th $955 to $15,849
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 $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,047.13 | $2,089.30 |
BCBS Texas Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | None | $1,122.02 | $1,122.02 | $1,412.54 |
Christus Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $13,489.63 Median $15,848.93 Typical High $15,848.93 | Professional | None | $13,489.63 | $15,848.93 | $15,848.93 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $2,398.83 | Facility | None | $660.69 | $1,348.96 | $2,398.83 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,047.13 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,380.38 Typical High $1,380.38 | Professional | None | $81.28 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $2,398.83 | Facility | None | $1,023.29 | $1,288.25 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,380.38 Typical High $2,398.83 | Facility | None | $1,348.96 | $1,380.38 | $2,398.83 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,548.82 | Professional | None | $870.96 | $1,288.25 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $524.81 Median $524.81 Typical High $1,047.13 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $416.87 | Professional | 53 · Discontinued | $208.93 | $208.93 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $1,047.13 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,047.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $416.87 | Professional | 53 · Discontinued | $208.93 | $208.93 | $416.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $309.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $208.93 |
Where Texas sits
The same service costs 3.4 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
$1,318
HI $3,236DE $955
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.