How much rates vary
Facilitymedian $195 · 10th to 90th $44 to $324Professionalmedian $38 · 10th to 90th $32 to $170
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 $31.62 Median $50.12 Typical High $77.62 | Facility | None | $31.62 | $50.12 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | None | $31.62 | $31.62 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | None | $31.62 | $31.62 | $39.81 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $331.13 | Facility | None | $97.72 | $229.09 | $331.13 |
BCBS Texas Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $57.54 Typical High $102.33 | Facility | None | $31.62 | $57.54 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Lucent Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None | $165.96 | $165.96 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $128.82 | Facility | None | $35.48 | $44.67 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | None | $35.48 | $35.48 | $37.15 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | None | $44.67 | $44.67 | $51.29 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $131.83 | Professional | None | $38.90 | $67.61 | $131.83 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $45.71 Typical High $275.42 | Facility | None | $31.62 | $45.71 | $275.42 |
Providence Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $40.74 | Professional | None | $35.48 | $38.02 | $40.74 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
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 $15.85 Median $25.12 Typical High $38.90 | Facility | 52 · Reduced service | $15.85 | $25.12 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $10.00 Typical High $15.49 | Facility | 53 · Discontinued | $6.46 | $10.00 | $15.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.79 Median $7.59 Typical High $11.75 | Facility | 55 · Aftercare only | $4.79 | $7.59 | $11.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.24 Median $5.01 Typical High $7.76 | Facility | 56 · Pre-op care only | $3.24 | $5.01 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.90 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $17.78 | $17.78 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.41 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.50 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.72 |
Where Texas sits
The same service costs 1.7 times more in Hawaii 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
$38.02
HI $54.95KY $31.62
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.