How much rates vary
Facilitymedian $60 · 10th to 90th $51 to $87Professionalmedian $55 · 10th to 90th $30 to $631
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 $54.95 Median $58.88 Typical High $60.26 | Facility | None | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | None | $53.70 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $26.30 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $10.47 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.91 Typical High $9.12 | Professional | 55 · Aftercare only | $7.76 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.25 | $5.89 | $6.03 |
Baylor Scott & White Setting Professional Modifier None Typical Low $32.36 Median $64.57 Typical High $72.44 | Professional | None | $32.36 | $64.57 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Lucent Health Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $630.96 | Professional | None | $398.11 | $630.96 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $89.13 | Facility | None | $51.29 | $60.26 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | None | $53.70 | $54.95 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $29.51 | $30.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $11.75 | $12.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.91 Typical High $9.33 | Professional | 55 · Aftercare only | $8.13 | $8.91 | $9.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.89 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.37 | $5.89 | $6.17 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | None | $30.90 | $33.88 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $89.13 | Facility | None | $51.29 | $72.44 | $89.13 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Facility | None | $70.79 | $70.79 | $83.18 |
United Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $43.65 | Professional | None | $12.88 | $33.11 | $43.65 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | None | $72.44 | $83.18 | $83.18 |
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 Montana than in Ohio. 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· 14th of 51
$54.95
MT $83.18OH $30.20
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.