How much rates vary
Facilitymedian $2,754 · 10th to 90th $2,042 to $4,786Professionalmedian $2,754 · 10th to 90th $2,042 to $44,668
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 $2,041.74 Median $2,041.74 Typical High $2,238.72 | Facility | None | $2,041.74 | $2,041.74 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,041.74 | $4,168.69 |
BCBS Texas Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,238.72 | $2,818.38 | $2,818.38 |
Christus Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $30,199.52 Median $44,668.36 Typical High $44,668.36 | Professional | None | $30,199.52 | $44,668.36 | $44,668.36 |
Moda Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,630.27 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,630.27 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,041.74 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,511.89 Typical High $2,511.89 | Professional | None | $81.28 | $2,511.89 | $2,511.89 |
Providence Setting Facility Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $4,786.30 | Facility | None | $2,041.74 | $2,754.23 | $4,786.30 |
Providence Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $5,128.61 | Facility | None | $2,454.71 | $2,511.89 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $3,311.31 | Professional | None | $1,862.09 | $2,818.38 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
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 $1,023.29 Median $1,023.29 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $831.76 | Professional | 53 · Discontinued | $416.87 | $416.87 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $416.87 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $2,041.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $831.76 | Professional | 53 · Discontinued | $416.87 | $416.87 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $616.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $416.87 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $416.87 |
Where Texas sits
The same service costs 2.8 times more in Wyoming 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· 33rd of 51
$2,754
WY $5,754DE $2,042
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.