How much rates vary
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 $1,659.59 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,659.59 | $1,659.59 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,659.59 | $1,659.59 | $3,311.31 |
BCBS Texas Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,819.70 | $2,238.72 |
Christus Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $28,840.32 Typical High $28,840.32 | Professional | None | $19,498.45 | $28,840.32 | $28,840.32 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $3,890.45 | Facility | None | $1,096.48 | $2,137.96 | $3,890.45 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,659.59 | $1,659.59 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,818.38 Typical High $2,818.38 | Professional | None | $81.28 | $2,818.38 | $2,818.38 |
Providence Setting Facility Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $3,890.45 | Facility | None | $1,621.81 | $2,691.53 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,570.88 | Facility | None | $1,819.70 | $1,819.70 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,412.54 | $2,137.96 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
4 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 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $331.13 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $501.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $331.13 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $331.13 |
Where Texas sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 29th of 51
$2,239
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.