How much rates vary
Facilitymedian $1,230 · 10th to 90th $631 to $1,514Professionalmedian $933 · 10th to 90th $646 to $12,589
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 $645.65 Median $645.65 Typical High $707.95 | Facility | None | $645.65 | $645.65 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,288.25 | Professional | None | $645.65 | $645.65 | $1,288.25 |
BCBS Texas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Christus Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $12,589.25 Typical High $12,589.25 | Professional | None | $8,511.38 | $12,589.25 | $12,589.25 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $1,513.56 | Facility | None | $478.63 | $831.76 | $1,513.56 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,288.25 | Professional | None | $645.65 | $645.65 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $851.14 Typical High $851.14 | Professional | None | $81.28 | $851.14 | $851.14 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,513.56 | Facility | None | $630.96 | $1,230.27 | $1,513.56 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Facility | None | $851.14 | $851.14 | $2,041.74 |
United Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $1,122.02 | Professional | None | $616.60 | $933.25 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $323.59 Median $323.59 Typical High $645.65 | Professional | 52 · Reduced service | $323.59 | $323.59 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $263.03 | Professional | 53 · Discontinued | $128.82 | $128.82 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $194.98 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $645.65 | Professional | 52 · Reduced service | $323.59 | $323.59 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $263.03 | Professional | 53 · Discontinued | $128.82 | $128.82 | $263.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $194.98 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $194.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $128.82 |
Where Texas sits
The same service costs 2.1 times more in Wisconsin 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· 32nd of 51
$933
WI $1,820FL $871
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.