How much rates vary
Facilitymedian $282 · 10th to 90th $219 to $525Professionalmedian $282 · 10th to 90th $204 to $3,467
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 $223.87 Median $223.87 Typical High $245.47 | Facility | None | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | None | $223.87 | $223.87 | $446.68 |
BCBS Texas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Christus Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $288.40 Typical High $524.81 | Facility | None | $138.04 | $288.40 | $524.81 |
Moda Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | None | $223.87 | $223.87 | $446.68 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $288.40 Typical High $288.40 | Professional | None | $81.28 | $288.40 | $288.40 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $524.81 | Facility | None | $218.78 | $281.84 | $524.81 |
Providence Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $501.19 | Facility | None | $288.40 | $389.05 | $501.19 |
United Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $323.59 | Professional | None | $177.83 | $269.15 | $323.59 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
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 $112.20 Median $112.20 Typical High $223.87 | Professional | 52 · Reduced service | $112.20 | $112.20 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | 53 · Discontinued | $44.67 | $44.67 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $67.61 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $44.67 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | 52 · Reduced service | $112.20 | $112.20 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | 53 · Discontinued | $44.67 | $44.67 | $89.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $67.61 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $44.67 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $44.67 |
Where Texas sits
The same service costs 4.1 times more in Hawaii 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· 25th of 51
$282
HI $832DE $204
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.