How much rates vary
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 $1,737.80 Median $1,737.80 Typical High $1,862.09 | Facility | None | $1,737.80 | $1,737.80 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,737.80 | $1,737.80 | $3,467.37 |
Christus Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
Lucent Health Setting Professional Modifier None Typical Low $19,952.62 Median $29,512.09 Typical High $29,512.09 | Professional | None | $19,952.62 | $29,512.09 | $29,512.09 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $3,981.07 | Facility | None | $1,122.02 | $2,238.72 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,737.80 | $1,737.80 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $2,630.27 Typical High $2,630.27 | Professional | None | $81.28 | $2,630.27 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,981.07 | Facility | None | $1,698.24 | $2,511.89 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,786.30 | Facility | None | $4,073.80 | $4,073.80 | $4,786.30 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,445.44 | $2,187.76 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $257.04 Median $257.04 Typical High $512.86 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $346.74 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $346.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $512.86 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $512.86 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $346.74 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $346.74 |
Where Texas sits
The same service costs 2.2 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· 29th of 51
$2,455
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.