How much rates vary
Facilitymedian $66 · 10th to 90th $56 to $98Professionalmedian $62 · 10th to 90th $33 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 $61.66 Median $64.57 Typical High $66.07 | Facility | None | $61.66 | $64.57 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $69.18 | Professional | None | $60.26 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $12.88 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.77 Typical High $10.23 | Professional | 55 · Aftercare only | $8.91 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.46 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.03 | $6.46 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
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 $56.23 Median $66.07 Typical High $97.72 | Facility | None | $56.23 | $66.07 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $69.18 | Professional | None | $60.26 | $64.57 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $32.36 | $34.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $12.88 | $13.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.77 Typical High $10.23 | Professional | 55 · Aftercare only | $8.91 | $9.77 | $10.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.46 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.03 | $6.46 | $6.92 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | None | $34.67 | $37.15 | $37.15 |
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 $56.23 Median $79.43 Typical High $97.72 | Facility | None | $56.23 | $79.43 | $97.72 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $97.72 | Facility | None | $83.18 | $83.18 | $97.72 |
United Setting Professional Modifier None Typical Low $12.88 Median $36.31 Typical High $51.29 | Professional | None | $12.88 | $36.31 | $51.29 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | None | $79.43 | $97.72 | $97.72 |
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 2.9 times more in Hawaii 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· 16th of 51
$61.66
HI $102IN $35.48
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.