How much rates vary
Facilitymedian $76 · 10th to 90th $65 to $107Professionalmedian $69 · 10th to 90th $28 to $676
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 $69.18 Median $74.13 Typical High $75.86 | Facility | None | $69.18 | $74.13 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $75.86 | Professional | None | $61.66 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $30.20 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.12 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.41 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.17 | $7.41 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $676.08 | Professional | None | $446.68 | $676.08 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $75.86 Typical High $112.20 | Facility | None | $63.10 | $75.86 | $112.20 |
Moda Health Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $75.86 | Professional | None | $64.57 | $74.13 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $37.15 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $14.79 | $15.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.55 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.41 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.46 | $7.41 | $7.59 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | None | $38.90 | $42.66 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $91.20 | Professional | None | $19.95 | $19.95 | $91.20 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $112.20 | Facility | None | $63.10 | $91.20 | $112.20 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Facility | None | $77.62 | $77.62 | $91.20 |
United Setting Professional Modifier None Typical Low $10.96 Median $32.36 Typical High $47.86 | Professional | None | $10.96 | $32.36 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
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 2.7 times more in Hawaii than in Alabama. 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
$69.18
HI $87.10AL $32.36
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.