How much rates vary
Facilitymedian $1,096 · 10th to 90th $661 to $1,622Professionalmedian $891 · 10th to 90th $692 to $12,589
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 $691.83 Median $691.83 Typical High $741.31 | Facility | None | $691.83 | $691.83 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
BCBS Texas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Christus Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $12,589.25 Typical High $12,589.25 | Professional | None | $8,317.64 | $12,589.25 | $12,589.25 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $1,621.81 | Facility | None | $446.68 | $891.25 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $891.25 Typical High $891.25 | Professional | None | $81.28 | $891.25 | $891.25 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,621.81 | Facility | None | $676.08 | $1,096.48 | $1,621.81 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,584.89 | Facility | None | $660.69 | $776.25 | $1,584.89 |
United Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,047.13 | Professional | None | $575.44 | $870.96 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 $346.74 Median $346.74 Typical High $691.83 | Professional | 52 · Reduced service | $346.74 | $346.74 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $691.83 | Professional | 52 · Reduced service | $346.74 | $346.74 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $208.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $138.04 |
Where Texas sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$891
HI $1,778FL $813
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.