How much rates vary
Facilitymedian $110 · 10th to 90th $93 to $162Professionalmedian $100 · 10th to 90th $50 to $1,072
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 $100.00 Median $107.15 Typical High $109.65 | Facility | None | $100.00 | $107.15 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $112.20 | Professional | None | $97.72 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $48.98 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.22 Typical High $16.98 | Professional | 55 · Aftercare only | $14.79 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.72 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.77 | $10.72 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,071.52 | Professional | None | $724.44 | $1,071.52 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $162.18 | Facility | None | $93.33 | $109.65 | $162.18 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $112.20 | Professional | None | $97.72 | $107.15 | $112.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $48.98 | $53.70 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $21.38 | $22.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.22 Typical High $16.98 | Professional | 55 · Aftercare only | $14.79 | $16.22 | $16.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.72 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.77 | $10.72 | $11.22 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | None | $56.23 | $61.66 | $61.66 |
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 $93.33 Median $131.83 Typical High $162.18 | Facility | None | $93.33 | $131.83 | $162.18 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Facility | None | $147.91 | $147.91 | $173.78 |
United Setting Professional Modifier None Typical Low $15.14 Median $64.57 Typical High $93.33 | Professional | None | $15.14 | $64.57 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | None | $131.83 | $173.78 | $173.78 |
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· 25th of 51
$100
HI $170NY $58.88
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.