How much rates vary
Facilitymedian $186 · 10th to 90th $135 to $2,754Professionalmedian $126 · 10th to 90th $126 to $11,749
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 $2,754.23 Median $2,754.23 Typical High $2,818.38 | Facility | None | $2,754.23 | $2,754.23 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,754.23 | $2,884.03 |
BCBS Texas Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Christus Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $169.82 Typical High $316.23 | Facility | None | $125.89 | $169.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $9,120.11 Median $11,748.98 Typical High $11,748.98 | Professional | None | $9,120.11 | $11,748.98 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $4,570.88 | Facility | None | $2,754.23 | $2,818.38 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,754.23 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None | $93.33 | $93.33 | $107.15 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $2,754.23 | Facility | None | $141.25 | $177.83 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
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 $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 53 · Discontinued | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,445.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 53 · Discontinued | $562.34 | $562.34 | $575.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $426.58 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $288.40 |
Where Texas sits
The same service costs 37.2 times more in Wyoming than in North Carolina. 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· 41st of 51
$126
WY $3,548NC $95.50
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.