How much rates vary
Facilitymedian $398 · 10th to 90th $145 to $562Professionalmedian $126 · 10th to 90th $126 to $2,138
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 $380.19 Median $398.11 Typical High $398.11 | Facility | None | $380.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | None | $380.19 | $398.11 | $398.11 |
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 $245.47 Typical High $407.38 | Facility | None | $125.89 | $245.47 | $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 $1,445.44 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,445.44 | $2,137.96 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $562.34 | Facility | None | $398.11 | $478.63 | $562.34 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | None | $380.19 | $398.11 | $398.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | None | $204.17 | $204.17 | $302.00 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $398.11 Typical High $1,096.48 | Facility | None | $144.54 | $398.11 | $1,096.48 |
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 $190.55 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $190.55 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.02 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $190.55 | $194.98 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $77.62 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.02 | $39.81 | $39.81 |
Where Texas sits
The same service costs 4.1 times more in Alaska 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· 39th of 51
$126
AK $479NC $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.