How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,413 to $3,388Professionalmedian $1,905 · 10th to 90th $1,445 to $24,547
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 $1,445.44 Median $1,445.44 Typical High $1,584.89 | Facility | None | $1,445.44 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,445.44 | $2,884.03 |
BCBS Texas Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,584.89 | $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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $18,620.87 Median $24,547.09 Typical High $24,547.09 | Professional | None | $18,620.87 | $24,547.09 | $24,547.09 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $3,388.44 | Facility | None | $933.25 | $1,862.09 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,445.44 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,905.46 Typical High $1,905.46 | Professional | None | $81.28 | $1,905.46 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $3,388.44 | Facility | None | $1,412.54 | $2,290.87 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,778.28 | $1,905.46 | $3,311.31 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $724.44 Median $724.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $588.84 | Professional | 53 · Discontinued | $288.40 | $288.40 | $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 $144.54 Median $144.54 Typical High $288.40 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,445.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $588.84 | Professional | 53 · Discontinued | $288.40 | $288.40 | $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 $144.54 Median $144.54 Typical High $288.40 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $288.40 |
Where Texas sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 29th of 51
$1,905
HI $4,365PA $1,549
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.