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 $4,570.88 Median $4,570.88 Typical High $4,897.79 | Facility | None | $4,570.88 | $4,570.88 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $9,120.11 | Professional | None | $4,570.88 | $4,570.88 | $9,120.11 |
Christus Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None | $4,897.79 | $4,897.79 | $6,606.93 |
Lucent Health Setting Professional Modifier None Typical Low $52,480.75 Median $77,624.71 Typical High $77,624.71 | Professional | None | $52,480.75 | $77,624.71 | $77,624.71 |
Moda Health Setting Facility Modifier None Typical Low $2,951.21 Median $5,754.40 Typical High $10,471.29 | Facility | None | $2,951.21 | $5,754.40 | $10,471.29 |
Moda Health Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $9,120.11 | Professional | None | $4,570.88 | $4,570.88 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $7,762.47 Typical High $7,762.47 | Professional | None | $81.28 | $7,762.47 | $7,762.47 |
Providence Setting Facility Modifier None Typical Low $4,466.84 Median $6,606.93 Typical High $10,471.29 | Facility | None | $4,466.84 | $6,606.93 | $10,471.29 |
Providence Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None | $4,897.79 | $4,897.79 | $6,606.93 |
United Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $12,589.25 | Facility | None | $10,715.19 | $10,715.19 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $6,918.31 | Professional | None | $3,801.89 | $5,754.40 | $6,918.31 |
Wellpoint Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
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 $676.08 Median $676.08 Typical High $1,348.96 | Professional | 55 · Aftercare only | $676.08 | $676.08 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $912.01 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $912.01 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $676.08 Typical High $1,348.96 | Professional | 55 · Aftercare only | $676.08 | $676.08 | $1,348.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $912.01 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $912.01 |
Where Texas sits
The same service costs 2.3 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· 31st of 51
$6,166
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.