How much rates vary
Facilitymedian $178 · 10th to 90th $155 to $380Professionalmedian $178 · 10th to 90th $129 to $2,692
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 $162.18 Median $162.18 Typical High $173.78 | Facility | None | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $323.59 | Professional | None | $162.18 | $162.18 | $323.59 |
BCBS Texas Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | None | $177.83 | $218.78 | $218.78 |
Christus Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $2,691.53 | Professional | None | $1,862.09 | $2,691.53 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $380.19 | Facility | None | $89.13 | $208.93 | $380.19 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $323.59 | Professional | None | $162.18 | $162.18 | $323.59 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $213.80 Typical High $213.80 | Professional | None | $81.28 | $213.80 | $213.80 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $380.19 | Facility | None | $158.49 | $177.83 | $380.19 |
Providence Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $323.59 | Facility | None | $186.21 | $208.93 | $323.59 |
United Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $208.93 | Professional | None | $114.82 | $177.83 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $81.28 Median $81.28 Typical High $162.18 | Professional | 52 · Reduced service | $81.28 | $81.28 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $64.57 | Professional | 53 · Discontinued | $32.36 | $32.36 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $48.98 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $32.36 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | 52 · Reduced service | $81.28 | $81.28 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $64.57 | Professional | 53 · Discontinued | $32.36 | $32.36 | $64.57 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $48.98 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $48.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $32.36 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $32.36 |
Where Texas sits
The same service costs 3.5 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· 31st of 51
$178
HI $447DE $129
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.