How much rates vary
Facilitymedian $7,586 · 10th to 90th $4,266 to $10,715Professionalmedian $6,918 · 10th to 90th $4,571 to $72,444
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 $4,570.88 Median $4,570.88 Typical High $4,897.79 | Facility | None | $4,570.88 | $4,570.88 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $9,120.11 | Professional | None | $4,570.88 | $4,570.88 | $9,120.11 |
BCBS Texas Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
Christus Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,495.41 | $7,585.78 |
Lucent Health Setting Professional Modifier None Typical Low $56,234.13 Median $72,443.60 Typical High $72,443.60 | Professional | None | $56,234.13 | $72,443.60 | $72,443.60 |
Moda Health Setting Facility Modifier None Typical Low $3,019.95 Median $5,888.44 Typical High $10,715.19 | Facility | None | $3,019.95 | $5,888.44 | $10,715.19 |
Moda Health Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $9,120.11 | Professional | None | $4,570.88 | $4,570.88 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $7,762.47 Typical High $7,762.47 | Professional | None | $81.28 | $7,762.47 | $7,762.47 |
Providence Setting Facility Modifier None Typical Low $4,466.84 Median $7,585.78 Typical High $10,715.19 | Facility | None | $4,466.84 | $7,585.78 | $10,715.19 |
Providence Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,495.41 | $7,585.78 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $10,964.78 | Facility | None | $4,265.80 | $4,786.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $5,888.44 Typical High $7,079.46 | Professional | None | $3,890.45 | $5,888.44 | $7,079.46 |
Wellpoint Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
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 $2,290.87 Median $2,290.87 Typical High $4,570.88 | Professional | 52 · Reduced service | $2,290.87 | $2,290.87 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $1,819.70 | Professional | 53 · Discontinued | $912.01 | $912.01 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $676.08 Typical High $1,348.96 | Professional | 55 · Aftercare only | $676.08 | $676.08 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $912.01 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,290.87 Typical High $4,570.88 | Professional | 52 · Reduced service | $2,290.87 | $2,290.87 | $4,570.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $1,819.70 | Professional | 53 · Discontinued | $912.01 | $912.01 | $1,819.70 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $676.08 Typical High $1,348.96 | Professional | 55 · Aftercare only | $676.08 | $676.08 | $1,348.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $912.01 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $912.01 |
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· 23rd of 51
$7,079
MT $11,220PA $5,370
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.