How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,072 to $2,570Professionalmedian $1,445 · 10th to 90th $1,096 to $18,621
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 $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,096.48 | $2,187.76 |
BCBS Texas Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Christus Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $17,378.01 Median $18,620.87 Typical High $18,620.87 | Professional | None | $17,378.01 | $18,620.87 | $18,620.87 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $2,570.40 | Facility | None | $741.31 | $1,412.54 | $2,570.40 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,096.48 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,380.38 Typical High $1,380.38 | Professional | None | $81.28 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,659.59 | $2,570.40 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,202.26 | $1,513.56 | $2,630.27 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $1,698.24 | Professional | None | $954.99 | $1,412.54 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $549.54 Median $549.54 Typical High $1,096.48 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | 53 · Discontinued | $218.78 | $218.78 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $331.13 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $1,096.48 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,096.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | 53 · Discontinued | $218.78 | $218.78 | $436.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $331.13 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $331.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $218.78 |
Where Texas sits
The same service costs 3.5 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· 30th of 51
$1,479
HI $4,169DE $1,202
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.