How much rates vary
Facilitymedian $1,738 · 10th to 90th $977 to $2,692Professionalmedian $1,445 · 10th to 90th $1,148 to $17,378
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 $1,148.15 Median $1,148.15 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,148.15 | $2,290.87 |
Christus Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $13,182.57 Median $17,378.01 Typical High $17,378.01 | Professional | None | $13,182.57 | $17,378.01 | $17,378.01 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,691.53 | Facility | None | $724.44 | $1,479.11 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,148.15 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,445.44 Typical High $1,445.44 | Professional | None | $81.28 | $1,445.44 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,691.53 | Facility | None | $1,122.02 | $1,737.80 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,630.27 | Facility | None | $977.24 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,698.24 | Professional | None | $933.25 | $1,412.54 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $575.44 Median $575.44 Typical High $1,148.15 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $346.74 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $1,148.15 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,148.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $346.74 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $346.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $229.09 |
Where Texas sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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· 29th of 51
$1,445
MT $2,692PA $1,259
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.