How much rates vary
Facilitymedian $1,047 · 10th to 90th $676 to $1,622Professionalmedian $871 · 10th to 90th $692 to $10,471
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 $741.31 | Facility | None | $691.83 | $691.83 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Lucent Health Setting Professional Modifier None Typical Low $9,772.37 Median $10,471.29 Typical High $10,471.29 | Professional | None | $9,772.37 | $10,471.29 | $10,471.29 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $1,621.81 | Facility | None | $446.68 | $891.25 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $812.83 Typical High $812.83 | Professional | None | $81.28 | $812.83 | $812.83 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,621.81 | Facility | None | $676.08 | $1,047.13 | $1,621.81 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,584.89 | Facility | None | $912.01 | $1,000.00 | $1,584.89 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,023.29 | Professional | None | $575.44 | $851.14 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $138.04 Median $138.04 Typical High $275.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $275.42 |
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 $138.04 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $138.04 |
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 $138.04 Median $138.04 Typical High $275.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $275.42 |
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 $138.04 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $138.04 |
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· 30th of 51
$871
HI $2,344PA $759
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.