How much rates vary
Facilitymedian $3,548 · 10th to 90th $2,089 to $4,898Professionalmedian $2,630 · 10th to 90th $2,138 to $45,709
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 $2,137.96 Median $2,137.96 Typical High $2,290.87 | Facility | None | $2,137.96 | $2,137.96 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,137.96 | $4,265.80 |
Christus 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 Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Lucent Health Setting Professional Modifier None Typical Low $45,708.82 Median $45,708.82 Typical High $45,708.82 | Professional | None | $45,708.82 | $45,708.82 | $45,708.82 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $4,897.79 | Facility | None | $1,548.82 | $2,691.53 | $4,897.79 |
Moda Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,187.76 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,630.27 Typical High $2,630.27 | Professional | None | $81.28 | $2,630.27 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $4,897.79 | Facility | None | $2,089.30 | $3,548.13 | $4,897.79 |
Providence Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $5,623.41 | Facility | None | $3,235.94 | $4,365.16 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,630.78 | Professional | None | $1,995.26 | $3,019.95 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $1,047.13 Median $1,047.13 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $851.14 | Professional | 53 · Discontinued | $426.58 | $426.58 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $630.96 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $2,137.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $851.14 | Professional | 53 · Discontinued | $426.58 | $426.58 | $851.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $630.96 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $630.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $426.58 |
Where Texas sits
The same service costs 4.3 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· 42nd of 51
$2,754
HI $11,220PA $2,630
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.