How much rates vary
Facilitymedian $91 · 10th to 90th $78 to $129Professionalmedian $83 · 10th to 90th $45 to $832
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 $83.18 Median $89.13 Typical High $91.20 | Facility | None | $83.18 | $89.13 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $91.20 | Professional | None | $81.28 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $12.30 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.91 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.13 | $8.91 | $9.12 |
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 $537.03 Median $831.76 Typical High $831.76 | Professional | None | $537.03 | $831.76 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $134.90 | Facility | None | $75.86 | $91.20 | $134.90 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $93.33 | Professional | None | $81.28 | $89.13 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $44.67 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $17.78 | $18.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $12.30 | $13.49 | $13.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.91 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.13 | $8.91 | $9.12 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | None | $46.77 | $51.29 | $51.29 |
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 $75.86 Median $109.65 Typical High $134.90 | Facility | None | $75.86 | $109.65 | $134.90 |
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 $46.77 Typical High $67.61 | Professional | None | $15.14 | $46.77 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | None | $109.65 | $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 2.3 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· 14th of 51
$83.18
HI $107UT $45.71
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.