How much rates vary
Facilitymedian $871 · 10th to 90th $575 to $1,380Professionalmedian $851 · 10th to 90th $589 to $13,183
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 $588.84 Median $588.84 Typical High $630.96 | Facility | None | $588.84 | $588.84 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,174.90 | Professional | None | $588.84 | $588.84 | $1,174.90 |
Christus Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $13,182.57 Typical High $13,182.57 | Professional | None | $10,232.93 | $13,182.57 | $13,182.57 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $1,380.38 | Facility | None | $436.52 | $758.58 | $1,380.38 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,174.90 | Professional | None | $588.84 | $588.84 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $776.25 Typical High $776.25 | Professional | None | $81.28 | $776.25 | $776.25 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,380.38 | Facility | None | $575.44 | $870.96 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,548.82 | Facility | None | $891.25 | $1,513.56 | $1,548.82 |
United Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,000.00 | Professional | None | $562.34 | $851.14 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
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 $295.12 Median $295.12 Typical High $588.84 | Professional | 52 · Reduced service | $295.12 | $295.12 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $234.42 | Professional | 53 · Discontinued | $117.49 | $117.49 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $177.83 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $117.49 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | 52 · Reduced service | $295.12 | $295.12 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $234.42 | Professional | 53 · Discontinued | $117.49 | $117.49 | $234.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $177.83 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $117.49 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $117.49 |
Where Texas sits
The same service costs 4.0 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· 32nd of 51
$851
HI $2,512DE $631
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.