How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,230 to $2,951Professionalmedian $1,585 · 10th to 90th $1,122 to $19,055
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 $1,258.93 Median $1,258.93 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,258.93 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,258.93 | $2,511.89 |
Christus Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $19,054.61 Typical High $19,054.61 | Professional | None | $16,218.10 | $19,054.61 | $19,054.61 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $1,621.81 Typical High $2,951.21 | Facility | None | $794.33 | $1,621.81 | $2,951.21 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,258.93 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,584.89 Typical High $1,584.89 | Professional | None | $81.28 | $1,584.89 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,230.27 | $1,548.82 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,884.03 | Facility | None | $1,479.11 | $1,698.24 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,548.82 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $630.96 Median $630.96 Typical High $1,258.93 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $380.19 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $1,258.93 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,258.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $501.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $380.19 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $380.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $251.19 |
Where Texas sits
The same service costs 3.0 times more in Iowa 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
$1,549
IA $3,311DE $1,122
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.