How much rates vary
Facilitymedian $457 · 10th to 90th $347 to $692Professionalmedian $331 · 10th to 90th $275 to $4,786
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 $302.00 Median $302.00 Typical High $323.59 | Facility | None | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $602.56 | Professional | None | $302.00 | $302.00 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | None | $489.78 | $524.81 | $524.81 |
BCBS Texas Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $537.03 | Professional | None | $331.13 | $331.13 | $537.03 |
Baylor Scott & White Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
Christus Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $707.95 | Facility | None | $190.55 | $389.05 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $602.56 | Professional | None | $302.00 | $302.00 | $602.56 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $512.86 Typical High $512.86 | Professional | None | $81.28 | $512.86 | $512.86 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $707.95 | Facility | None | $295.12 | $380.19 | $707.95 |
Providence Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $812.83 | Facility | None | $691.83 | $691.83 | $812.83 |
United Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $446.68 | Professional | None | $245.47 | $371.54 | $446.68 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
4 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 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $91.20 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $60.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $91.20 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $91.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $60.26 |
Where Texas sits
The same service costs 3.7 times more in Alaska 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· 41st of 51
$380
AK $1,023DE $275
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.