How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,445 to $4,571Professionalmedian $2,344 · 10th to 90th $1,738 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 $1,995.26 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,995.26 | $1,995.26 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,981.07 | Professional | None | $1,995.26 | $1,995.26 | $3,981.07 |
Christus Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $28,183.83 Typical High $28,183.83 | Professional | None | $22,908.68 | $28,183.83 | $28,183.83 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,511.89 Typical High $4,570.88 | Facility | None | $1,096.48 | $2,511.89 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,981.07 | Professional | None | $1,995.26 | $1,995.26 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $3,388.44 Typical High $3,388.44 | Professional | None | $81.28 | $3,388.44 | $3,388.44 |
Providence Setting Facility Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $4,570.88 | Facility | None | $1,949.84 | $2,398.83 | $4,570.88 |
Providence Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $3,890.45 | Facility | None | $1,445.44 | $1,698.24 | $3,890.45 |
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 |
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 $977.24 Median $977.24 Typical High $1,995.26 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $794.33 | Professional | 53 · Discontinued | $398.11 | $398.11 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $1,995.26 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,995.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $794.33 | Professional | 53 · Discontinued | $398.11 | $398.11 | $794.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $588.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $398.11 |
Where Texas sits
The same service costs 2.2 times more in Arkansas 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· 22nd of 51
$2,399
AR $3,890DE $1,738
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.