How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,660 to $3,890Professionalmedian $2,291 · 10th to 90th $1,660 to $28,184
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 $1,659.59 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,659.59 | $1,659.59 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,659.59 | $1,659.59 | $3,388.44 |
Ambetter Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Texas Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Christus Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
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 $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $28,183.83 Typical High $28,183.83 | Professional | None | $19,498.45 | $28,183.83 | $28,183.83 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $3,890.45 | Facility | None | $1,096.48 | $2,137.96 | $3,890.45 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,659.59 | $1,659.59 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,570.40 Typical High $2,570.40 | Professional | None | $81.28 | $2,570.40 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,659.59 | $2,454.71 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,890.45 | $3,890.45 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,412.54 | $2,137.96 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
4 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 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $338.84 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $501.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $338.84 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $338.84 |
Where Texas sits
The same service costs 2.3 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· 29th of 51
$2,291
MT $4,074DE $1,778
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.