How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,047 to $2,455Professionalmedian $1,479 · 10th to 90th $977 to $18,197
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 $1,071.52 Median $1,071.52 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,071.52 | $2,137.96 |
BCBS Texas Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,905.46 | $1,905.46 |
Christus Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $18,197.01 Typical High $18,197.01 | Professional | None | $12,302.69 | $18,197.01 | $18,197.01 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $2,454.71 | Facility | None | $691.83 | $1,380.38 | $2,454.71 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,071.52 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,513.56 Typical High $1,513.56 | Professional | None | $81.28 | $1,513.56 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,348.96 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,951.21 | Facility | None | $2,511.89 | $2,511.89 | $2,951.21 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,621.81 | Professional | None | $891.25 | $1,348.96 | $1,621.81 |
Wellpoint 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 |
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 $524.81 Median $524.81 Typical High $1,071.52 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | 53 · Discontinued | $213.80 | $213.80 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $213.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $1,071.52 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,071.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | 53 · Discontinued | $213.80 | $213.80 | $426.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $316.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $213.80 |
Where Texas sits
The same service costs 2.6 times more in Montana 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
$1,445
MT $2,512DE $977
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.