How much rates vary
Facilitymedian $955 · 10th to 90th $692 to $1,622Professionalmedian $977 · 10th to 90th $692 to $11,749
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 $691.83 Median $691.83 Typical High $758.58 | Facility | None | $691.83 | $691.83 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,412.54 | Professional | None | $691.83 | $691.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,258.93 | Professional | None | $758.58 | $1,258.93 | $1,258.93 |
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $11,748.98 Typical High $11,748.98 | Professional | None | $8,128.31 | $11,748.98 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $891.25 Typical High $1,621.81 | Facility | None | $457.09 | $891.25 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,412.54 | Professional | None | $691.83 | $691.83 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,071.52 Typical High $1,071.52 | Professional | None | $81.28 | $1,071.52 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $954.99 Typical High $1,621.81 | Facility | None | $691.83 | $954.99 | $1,621.81 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Facility | None | $1,621.81 | $1,621.81 | $1,949.84 |
United Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,071.52 | Professional | None | $588.84 | $891.25 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $346.74 Median $346.74 Typical High $691.83 | Professional | 52 · Reduced service | $346.74 | $346.74 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $281.84 | Professional | 53 · Discontinued | $141.25 | $141.25 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $691.83 | Professional | 52 · Reduced service | $346.74 | $346.74 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $281.84 | Professional | 53 · Discontinued | $141.25 | $141.25 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $208.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $141.25 |
Where Texas sits
The same service costs 2.4 times more in Montana 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· 34th of 51
$955
MT $1,660DE $692
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.