How much rates vary
Facilitymedian $102 · 10th to 90th $87 to $148Professionalmedian $95 · 10th to 90th $45 to $741
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 $95.50 Median $100.00 Typical High $102.33 | Facility | None | $95.50 | $100.00 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $102.33 | Professional | None | $77.62 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $15.85 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.14 Typical High $15.49 | Professional | 55 · Aftercare only | $11.75 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.00 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.76 | $10.00 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $741.31 | Professional | None | $616.60 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $151.36 | Facility | None | $87.10 | $102.33 | $151.36 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $102.33 | Professional | None | $87.10 | $100.00 | $102.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $50.12 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $20.42 | $20.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.14 Typical High $15.49 | Professional | 55 · Aftercare only | $13.18 | $15.14 | $15.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.00 Typical High $10.23 | Professional | 56 · Pre-op care only | $8.71 | $10.00 | $10.23 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | None | $53.70 | $57.54 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $151.36 | Facility | None | $87.10 | $123.03 | $151.36 |
Providence Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $125.89 | Facility | None | $107.15 | $107.15 | $125.89 |
United Setting Professional Modifier None Typical Low $15.14 Median $45.71 Typical High $66.07 | Professional | None | $15.14 | $45.71 | $66.07 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | None | $123.03 | $125.89 | $125.89 |
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 New York. 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· 6th of 51
$95.50
HI $120NY $41.69
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.