How much rates vary
Facilitymedian $74 · 10th to 90th $63 to $107Professionalmedian $69 · 10th to 90th $38 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 $69.18 Median $74.13 Typical High $74.13 | Facility | None | $69.18 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $74.13 | Professional | None | $67.61 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $11.22 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.76 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $741.31 | Professional | None | $467.74 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $109.65 | Facility | None | $63.10 | $74.13 | $109.65 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $74.13 | Professional | None | $67.61 | $69.18 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $36.31 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $14.79 | $15.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $11.22 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $11.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.76 | $7.41 | $7.41 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | None | $38.90 | $41.69 | $41.69 |
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 $63.10 Median $89.13 Typical High $109.65 | Facility | None | $63.10 | $89.13 | $109.65 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | None | $89.13 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $15.14 Median $44.67 Typical High $54.95 | Professional | None | $15.14 | $44.67 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | None | $89.13 | $104.71 | $104.71 |
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 Utah. 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· 17th of 51
$69.18
HI $102UT $38.02
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.