How much rates vary
Facilitymedian $44 · 10th to 90th $37 to $63Professionalmedian $40 · 10th to 90th $22 to $457
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $39.81 Median $42.66 Typical High $43.65 | Facility | None | $39.81 | $42.66 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $45.71 | Professional | None | $38.02 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.46 Typical High $6.61 | Professional | 55 · Aftercare only | $5.75 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.27 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.80 | $4.27 | $4.37 |
Baylor Scott & White Setting Professional Modifier None Typical Low $22.39 Median $42.66 Typical High $52.48 | Professional | None | $22.39 | $42.66 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Lucent Health Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $457.09 | Professional | None | $295.12 | $457.09 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $64.57 | Facility | None | $37.15 | $43.65 | $64.57 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $42.66 Typical High $45.71 | Professional | None | $39.81 | $42.66 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $21.38 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $9.12 | Professional | 53 · Discontinued | $7.94 | $8.51 | $9.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.46 Typical High $6.76 | Professional | 55 · Aftercare only | $5.89 | $6.46 | $6.76 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.27 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.98 | $4.27 | $4.57 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | None | $22.39 | $24.55 | $24.55 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $52.48 | Professional | None | $19.95 | $19.95 | $52.48 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $52.48 Typical High $64.57 | Facility | None | $37.15 | $52.48 | $64.57 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Facility | None | $52.48 | $52.48 | $61.66 |
United Setting Professional Modifier None Typical Low $10.96 Median $22.91 Typical High $32.36 | Professional | None | $10.96 | $22.91 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | None | $52.48 | $61.66 | $61.66 |
1 more rate 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 |
|---|---|---|---|---|---|
Oscar Health Setting Professional Modifier GX · Voluntary liability notice Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | GX · Voluntary liability notice | $12.59 | $12.59 | $12.59 |
Where Texas sits
The same service costs 3.3 times more in Montana than in Missouri. 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· 16th of 51
$39.81
MT $74.13MO $22.39
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.