How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,239 to $5,370Professionalmedian $3,311 · 10th to 90th $2,291 to $39,811
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 $2,290.87 Median $2,290.87 Typical High $2,454.71 | Facility | None | $2,290.87 | $2,290.87 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,570.88 | Professional | None | $2,290.87 | $2,290.87 | $4,570.88 |
BCBS Texas Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Christus Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $35,481.34 Median $39,810.72 Typical High $39,810.72 | Professional | None | $35,481.34 | $39,810.72 | $39,810.72 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $5,370.32 | Facility | None | $1,698.24 | $2,951.21 | $5,370.32 |
Moda Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,570.88 | Professional | None | $2,290.87 | $2,290.87 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $3,019.95 Typical High $3,019.95 | Professional | None | $81.28 | $3,019.95 | $3,019.95 |
Providence Setting Facility Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $5,370.32 | Facility | None | $2,238.72 | $3,715.35 | $5,370.32 |
Providence Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $7,079.46 | Facility | None | $3,467.37 | $3,467.37 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $3,890.45 | Professional | None | $2,187.76 | $3,235.94 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $1,148.15 Median $1,148.15 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $912.01 | Professional | 53 · Discontinued | $457.09 | $457.09 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $691.83 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $2,290.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $912.01 | Professional | 53 · Discontinued | $457.09 | $457.09 | $912.01 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $691.83 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $691.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $457.09 |
Where Texas sits
The same service costs 2.9 times more in Hawaii 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· 31st of 51
$3,311
HI $7,943PA $2,754
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.