How much rates vary
Facilitymedian $148 · 10th to 90th $30 to $288Professionalmedian $30 · 10th to 90th $21 to $126
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 $20.89 Median $41.69 Typical High $64.57 | Facility | None | $20.89 | $41.69 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | None | $20.89 | $20.89 | $21.38 |
BCBS Texas Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $309.03 | Facility | None | $102.33 | $229.09 | $309.03 |
BCBS Texas Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $100.00 | Professional | None | $28.18 | $28.18 | $100.00 |
Baylor Scott & White Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $87.10 | Professional | None | $20.89 | $29.51 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $40.74 Typical High $69.18 | Facility | None | $20.89 | $40.74 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Lucent Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $89.13 | Facility | None | $29.51 | $41.69 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | None | $29.51 | $29.51 | $30.90 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | None | $21.88 | $21.88 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $29.51 Median $52.48 Typical High $109.65 | Professional | None | $29.51 | $52.48 | $109.65 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $177.83 | Facility | None | $20.89 | $30.20 | $177.83 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | None | $29.51 | $31.62 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
12 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 Facility Modifier 52 · Reduced service Typical Low $10.47 Median $20.89 Typical High $32.36 | Facility | 52 · Reduced service | $10.47 | $20.89 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $8.32 Typical High $12.88 | Facility | 53 · Discontinued | $4.17 | $8.32 | $12.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.16 Median $6.31 Typical High $9.77 | Facility | 55 · Aftercare only | $3.16 | $6.31 | $9.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.09 Median $4.17 Typical High $6.46 | Facility | 56 · Pre-op care only | $2.09 | $4.17 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.16 Typical High $3.24 | Professional | 55 · Aftercare only | $3.16 | $3.16 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.09 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.09 | $2.09 | $2.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $3.09 |
Where Texas sits
The same service costs 3.8 times more in Wyoming than in Kentucky. 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· 11th of 51
$29.51
WY $79.43KY $20.89
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.