How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,445 to $3,467Professionalmedian $1,820 · 10th to 90th $1,288 to $26,915
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 $1,479.11 Median $1,479.11 Typical High $1,621.81 | Facility | None | $1,479.11 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,479.11 | $2,951.21 |
BCBS Texas Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Christus Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $18,197.01 Median $26,915.35 Typical High $26,915.35 | Professional | None | $18,197.01 | $26,915.35 | $26,915.35 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $3,467.37 | Facility | None | $912.01 | $1,905.46 | $3,467.37 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,479.11 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,949.84 Typical High $1,949.84 | Professional | None | $81.28 | $1,949.84 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,467.37 | Facility | None | $1,445.44 | $1,778.28 | $3,467.37 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,862.09 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,778.28 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $741.31 Median $741.31 Typical High $1,479.11 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | 53 · Discontinued | $295.12 | $295.12 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,479.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | 53 · Discontinued | $295.12 | $295.12 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $446.68 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $295.12 |
Where Texas sits
The same service costs 3.2 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
$1,820
HI $4,169DE $1,288
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.