How much rates vary
Facilitymedian $407 · 10th to 90th $145 to $2,089Professionalmedian $204 · 10th to 90th $126 to $9,120
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,089.30 | $2,137.96 |
BCBS Texas Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
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 $275.42 Typical High $407.38 | Facility | None | $125.89 | $275.42 | $407.38 |
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 $6,760.83 Median $8,709.64 Typical High $9,120.11 | Professional | None | $6,760.83 | $8,709.64 | $9,120.11 |
Moda Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,951.21 | Facility | None | $2,089.30 | $2,089.30 | $2,951.21 |
Moda Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,089.30 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $134.90 | Professional | None | $30.20 | $30.20 | $134.90 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $407.38 Typical High $2,089.30 | Facility | None | $144.54 | $407.38 | $2,089.30 |
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 $1,023.29 Median $1,023.29 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 53 · Discontinued | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $213.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,071.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 53 · Discontinued | $416.87 | $416.87 | $426.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $316.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $213.80 |
Where Texas sits
The same service costs 24.0 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· 30th of 51
$204
WY $2,818NC $117
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.