How much rates vary
Facilitymedian $407 · 10th to 90th $145 to $1,023Professionalmedian $132 · 10th to 90th $126 to $3,548
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 $707.95 Median $707.95 Typical High $724.44 | Facility | None | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None | $707.95 | $707.95 | $741.31 |
BCBS Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
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 $2,454.71 Median $2,511.89 Typical High $3,548.13 | Professional | None | $2,454.71 | $2,511.89 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,023.29 | Facility | None | $707.95 | $707.95 | $1,023.29 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None | $707.95 | $707.95 | $741.31 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $933.25 Typical High $933.25 | Professional | None | $114.82 | $933.25 | $933.25 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $407.38 Typical High $1,096.48 | Facility | None | $144.54 | $407.38 | $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 $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 53 · Discontinued | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 53 · Discontinued | $141.25 | $141.25 | $147.91 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $74.13 |
Where Texas sits
The same service costs 13.2 times more in Hawaii 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· 37th of 51
$135
HI $1,549NC $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.