How much rates vary
Facilitymedian $55 · 10th to 90th $47 to $79Professionalmedian $51 · 10th to 90th $23 to $525
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 $51.29 Median $53.70 Typical High $54.95 | Facility | None | $51.29 | $53.70 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $54.95 | Professional | None | $46.77 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.92 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.13 Typical High $8.32 | Professional | 55 · Aftercare only | $7.08 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.37 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.68 | $5.37 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Lucent Health Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $524.81 | Professional | None | $338.84 | $524.81 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $81.28 | Facility | None | $46.77 | $54.95 | $81.28 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $57.54 | Professional | None | $47.86 | $53.70 | $57.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $26.92 Typical High $27.54 | Professional | 52 · Reduced service | $23.99 | $26.92 | $27.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.55 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.13 Typical High $8.32 | Professional | 55 · Aftercare only | $7.08 | $8.13 | $8.32 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.37 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.79 | $5.37 | $5.50 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | None | $28.84 | $30.90 | $30.90 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $66.07 | Professional | None | $19.95 | $19.95 | $66.07 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $66.07 Typical High $81.28 | Facility | None | $46.77 | $66.07 | $81.28 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Facility | None | $60.26 | $60.26 | $70.79 |
United Setting Professional Modifier None Typical Low $10.96 Median $25.70 Typical High $37.15 | Professional | None | $10.96 | $25.70 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | None | $66.07 | $70.79 | $70.79 |
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 3.0 times more in Hawaii 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· 8th of 51
$51.29
HI $75.86MO $25.70
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.