How much rates vary
Facilitymedian $407 · 10th to 90th $145 to $3,020Professionalmedian $126 · 10th to 90th $126 to $16,596
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 $2,951.21 Median $3,019.95 Typical High $3,019.95 | Facility | None | $2,951.21 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,951.21 | $3,019.95 | $3,019.95 |
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 $10,964.78 Median $16,595.87 Typical High $16,595.87 | Professional | None | $10,964.78 | $16,595.87 | $16,595.87 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $4,265.80 | Facility | None | $524.81 | $524.81 | $4,265.80 |
Moda Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,951.21 | $3,019.95 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $371.54 | Professional | None | $30.20 | $30.20 | $371.54 |
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 $407.38 Typical High $3,019.95 | Facility | None | $144.54 | $407.38 | $3,019.95 |
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 $1,479.11 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,479.11 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $602.56 Typical High $616.60 | Professional | 53 · Discontinued | $588.84 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $446.68 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $295.12 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,479.11 | $1,513.56 | $1,513.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $588.84 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $446.68 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $295.12 | $302.00 | $302.00 |
Where Texas sits
The same service costs 26.9 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 $3,162NC $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.