How much rates vary
Facilitymedian $1,288 · 10th to 90th $851 to $1,479Professionalmedian $955 · 10th to 90th $851 to $10,965
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 $851.14 Median $851.14 Typical High $912.01 | Facility | None | $851.14 | $851.14 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,698.24 | Professional | None | $851.14 | $851.14 | $1,698.24 |
Ambetter Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,380.38 | $1,479.11 | $1,479.11 |
BCBS Texas Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,148.15 | Professional | None | $912.01 | $912.01 | $1,148.15 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,479.11 | $1,949.84 |
Christus Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $9,772.37 Median $10,964.78 Typical High $10,964.78 | Professional | None | $9,772.37 | $10,964.78 | $10,964.78 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $1,071.52 Typical High $1,949.84 | Facility | None | $467.74 | $1,071.52 | $1,949.84 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,698.24 | Professional | None | $851.14 | $851.14 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $954.99 Typical High $954.99 | Professional | None | $81.28 | $954.99 | $954.99 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,949.84 | Facility | None | $831.76 | $1,202.26 | $1,949.84 |
Providence Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
United Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,659.59 | Facility | None | $457.09 | $724.44 | $1,659.59 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,071.52 | Professional | None | $602.56 | $912.01 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $416.87 Median $416.87 Typical High $851.14 | Professional | 52 · Reduced service | $416.87 | $416.87 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $338.84 | Professional | 53 · Discontinued | $169.82 | $169.82 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $169.82 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $851.14 | Professional | 52 · Reduced service | $416.87 | $416.87 | $851.14 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $338.84 | Professional | 53 · Discontinued | $169.82 | $169.82 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $251.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $169.82 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $169.82 |
Where Texas sits
The same service costs 2.6 times more in Montana than in Florida. 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· 26th of 51
$1,023
MT $1,950FL $759
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.