How much rates vary
Facilitymedian $7,244 · 10th to 90th $3,981 to $9,550Professionalmedian $5,888 · 10th to 90th $4,074 to $70,795
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 $4,073.80 Median $4,073.80 Typical High $4,365.16 | Facility | None | $4,073.80 | $4,073.80 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $8,128.31 | Professional | None | $4,073.80 | $4,073.80 | $8,128.31 |
BCBS Texas Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Christus Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Facility | None | $9,549.93 | $9,549.93 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Lucent Health Setting Professional Modifier None Typical Low $53,703.18 Median $70,794.58 Typical High $70,794.58 | Professional | None | $53,703.18 | $70,794.58 | $70,794.58 |
Moda Health Setting Facility Modifier None Typical Low $2,951.21 Median $5,248.07 Typical High $9,549.93 | Facility | None | $2,951.21 | $5,248.07 | $9,549.93 |
Moda Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $8,128.31 | Professional | None | $4,073.80 | $4,265.80 | $8,128.31 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $6,918.31 Typical High $6,918.31 | Professional | None | $81.28 | $6,918.31 | $6,918.31 |
Providence Setting Facility Modifier None Typical Low $3,981.07 Median $7,244.36 Typical High $9,549.93 | Facility | None | $3,981.07 | $7,244.36 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $10,715.19 | Facility | None | $4,365.16 | $5,128.61 | $10,715.19 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $6,918.31 | Professional | None | $3,801.89 | $5,754.40 | $6,918.31 |
Wellpoint Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
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 $2,041.74 Median $2,041.74 Typical High $4,073.80 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $1,621.81 | Professional | 53 · Discontinued | $812.83 | $812.83 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $1,230.27 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $812.83 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $2,041.74 Typical High $4,073.80 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $4,073.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $1,621.81 | Professional | 53 · Discontinued | $812.83 | $812.83 | $1,621.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $1,230.27 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $1,230.27 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $812.83 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $812.83 |
Where Texas sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 28th of 51
$6,166
HI $11,220NJ $5,248
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.