How much rates vary
Facilitymedian $52 · 10th to 90th $44 to $76Professionalmedian $48 · 10th to 90th $25 to $589
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 $47.86 Median $51.29 Typical High $52.48 | Facility | None | $47.86 | $51.29 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | None | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $23.44 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $9.33 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.59 Typical High $8.13 | Professional | 55 · Aftercare only | $7.08 | $7.59 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.13 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.68 | $5.13 | $5.37 |
Baylor Scott & White Setting Professional Modifier None Typical Low $22.39 Median $46.77 Typical High $63.10 | Professional | None | $22.39 | $46.77 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Lucent Health Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $588.84 | Professional | None | $371.54 | $588.84 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $75.86 | Facility | None | $43.65 | $52.48 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | None | $46.77 | $50.12 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $23.44 | $25.70 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $9.33 | $10.23 | $10.72 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.59 Typical High $8.13 | Professional | 55 · Aftercare only | $7.08 | $7.59 | $8.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.13 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.68 | $5.13 | $5.37 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | None | $26.92 | $28.84 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $63.10 | Professional | None | $19.95 | $19.95 | $63.10 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $63.10 Typical High $75.86 | Facility | None | $43.65 | $63.10 | $75.86 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | None | $69.18 | $69.18 | $81.28 |
United Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $42.66 | Professional | None | $10.96 | $29.51 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | None | $63.10 | $81.28 | $81.28 |
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 2.8 times more in Hawaii than in Utah. 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· 25th of 51
$47.86
HI $81.28UT $28.84
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.