How much rates vary
Facilitymedian $50 · 10th to 90th $43 to $74Professionalmedian $49 · 10th to 90th $25 to $603
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 $45.71 Median $48.98 Typical High $50.12 | Facility | None | $45.71 | $48.98 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $51.29 | Professional | None | $44.67 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.91 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.41 Typical High $7.76 | Professional | 55 · Aftercare only | $6.76 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.90 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.47 | $4.90 | $5.13 |
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 $380.19 Median $602.56 Typical High $602.56 | Professional | None | $380.19 | $602.56 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $74.13 | Facility | None | $41.69 | $50.12 | $74.13 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $51.29 | Professional | None | $44.67 | $48.98 | $51.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $24.55 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.91 | $9.77 | $10.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.41 Typical High $7.76 | Professional | 55 · Aftercare only | $6.76 | $7.41 | $7.76 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.90 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.47 | $4.90 | $5.13 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | None | $25.70 | $28.18 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $60.26 | Professional | None | $19.95 | $19.95 | $60.26 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $74.13 | Facility | None | $41.69 | $60.26 | $74.13 |
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 $67.61 Median $67.61 Typical High $79.43 | Facility | None | $67.61 | $67.61 | $79.43 |
United Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $41.69 | Professional | None | $10.96 | $29.51 | $41.69 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $79.43 | Professional | None | $60.26 | $79.43 | $79.43 |
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 2.6 times more in Montana than in Indiana. 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· 18th of 51
$48.98
MT $74.13IN $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.