How much rates vary
Facilitymedian $355 · 10th to 90th $145 to $513Professionalmedian $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 $354.81 Median $354.81 Typical High $380.19 | Facility | None | $354.81 | $354.81 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | None | $354.81 | $354.81 | $380.19 |
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 $354.81 Median $354.81 Typical High $512.86 | Facility | None | $354.81 | $354.81 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $380.19 | Professional | None | $208.93 | $354.81 | $380.19 |
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 $354.81 Typical High $1,096.48 | Facility | None | $144.54 | $354.81 | $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 $177.83 Median $177.83 Typical High $190.55 | Professional | 52 · Reduced service | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 52 · Reduced service | $177.83 | $177.83 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $70.79 | $70.79 | $77.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $38.02 |
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· 49th 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.