How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,288 to $3,020Professionalmedian $1,820 · 10th to 90th $1,288 to $24,547
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 $1,288.25 Median $1,288.25 Typical High $1,412.54 | Facility | None | $1,288.25 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,288.25 | $2,630.27 |
Christus Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $24,547.09 Typical High $24,547.09 | Professional | None | $19,498.45 | $24,547.09 | $24,547.09 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $1,659.59 Typical High $3,019.95 | Facility | None | $912.01 | $1,659.59 | $3,019.95 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,288.25 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,659.59 Typical High $1,659.59 | Professional | None | $81.28 | $1,659.59 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,019.95 | Facility | None | $1,288.25 | $2,041.74 | $3,019.95 |
Providence Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,311.31 | Facility | None | $1,905.46 | $1,949.84 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,778.28 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,698.24 | $1,698.24 | $1,737.80 |
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 $645.65 Median $645.65 Typical High $1,288.25 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $524.81 | Professional | 53 · Discontinued | $263.03 | $263.03 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $389.05 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $263.03 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $1,288.25 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,288.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $524.81 | Professional | 53 · Discontinued | $263.03 | $263.03 | $524.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $389.05 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $389.05 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $263.03 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $263.03 |
Where Texas sits
The same service costs 3.1 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· 33rd of 51
$1,820
HI $4,677PA $1,514
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.