How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,738 to $4,169Professionalmedian $2,291 · 10th to 90th $1,660 to $30,903
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 $1,778.28 Median $1,778.28 Typical High $1,949.84 | Facility | None | $1,778.28 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,778.28 | $3,548.13 |
BCBS Texas Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Christus Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $20,892.96 Median $30,902.95 Typical High $30,902.95 | Professional | None | $20,892.96 | $30,902.95 | $30,902.95 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $2,290.87 Typical High $4,168.69 | Facility | None | $1,174.90 | $2,290.87 | $4,168.69 |
Moda Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,778.28 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,454.71 Typical High $2,454.71 | Professional | None | $81.28 | $2,454.71 | $2,454.71 |
Providence Setting Facility Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $4,168.69 | Facility | None | $1,737.80 | $2,290.87 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,011.87 | Facility | None | $1,995.26 | $1,995.26 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $2,754.23 | Professional | None | $1,513.56 | $2,290.87 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $891.25 Median $891.25 Typical High $1,778.28 | Professional | 52 · Reduced service | $891.25 | $891.25 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $707.95 | Professional | 53 · Discontinued | $354.81 | $354.81 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $537.03 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $354.81 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $1,778.28 | Professional | 52 · Reduced service | $891.25 | $891.25 | $1,778.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $707.95 | Professional | 53 · Discontinued | $354.81 | $354.81 | $707.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $537.03 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $537.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $354.81 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $354.81 |
Where Texas sits
The same service costs 2.5 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· 32nd of 51
$2,291
HI $4,365DE $1,738
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.