How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,349 to $3,236Professionalmedian $1,905 · 10th to 90th $1,380 to $29,512
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 $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,380.38 | $2,754.23 |
BCBS Texas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Christus Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna 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 Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $29,512.09 Typical High $29,512.09 | Professional | None | $22,908.68 | $29,512.09 | $29,512.09 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $3,235.94 | Facility | None | $1,000.00 | $1,778.28 | $3,235.94 |
Moda Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,380.38 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,737.80 Typical High $1,737.80 | Professional | None | $81.28 | $1,737.80 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $3,235.94 | Facility | None | $1,348.96 | $2,454.71 | $3,235.94 |
Providence Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $3,630.78 | Facility | None | $2,089.30 | $2,187.76 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,949.84 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $691.83 Median $691.83 Typical High $1,380.38 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $549.54 | Professional | 53 · Discontinued | $275.42 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $416.87 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,380.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $549.54 | Professional | 53 · Discontinued | $275.42 | $275.42 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $416.87 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $416.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $275.42 |
Where Texas sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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
$1,950
HI $5,623DC $1,660
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.