How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,288 to $2,344Professionalmedian $1,622 · 10th to 90th $1,288 to $17,378
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 $1,288.25 Median $1,288.25 Typical High $1,380.38 | Facility | None | $1,288.25 | $1,288.25 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,288.25 | $2,570.40 |
Ambetter Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,238.72 | $2,238.72 |
BCBS Texas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,380.38 | $1,380.38 | $2,238.72 |
Baylor Scott & White Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,238.72 | $2,951.21 |
Christus Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $14,791.08 Median $17,378.01 Typical High $17,378.01 | Professional | None | $14,791.08 | $17,378.01 | $17,378.01 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,659.59 Typical High $2,951.21 | Facility | None | $741.31 | $1,659.59 | $2,951.21 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,288.25 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,621.81 Typical High $1,621.81 | Professional | None | $81.28 | $1,621.81 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,258.93 | $1,819.70 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $2,630.27 | Facility | None | $870.96 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,698.24 | Professional | None | $954.99 | $1,445.44 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $645.65 Median $645.65 Typical High $1,288.25 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $512.86 | Professional | 53 · Discontinued | $257.04 | $257.04 | $512.86 |
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 $128.82 Median $128.82 Typical High $257.04 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $1,288.25 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,288.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $512.86 | Professional | 53 · Discontinued | $257.04 | $257.04 | $512.86 |
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 $128.82 Median $128.82 Typical High $257.04 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $257.04 |
Where Texas sits
The same service costs 2.3 times more in Wisconsin 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· 32nd of 51
$1,622
WI $2,951PA $1,288
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.