How much rates vary
Facilitymedian $148 · 10th to 90th $126 to $219Professionalmedian $138 · 10th to 90th $50 to $1,820
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 $138.04 Median $147.91 Typical High $147.91 | Facility | None | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $154.88 | Professional | None | $134.90 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.88 Typical High $22.91 | Professional | 55 · Aftercare only | $19.95 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.79 Typical High $15.49 | Professional | 56 · Pre-op care only | $13.49 | $14.79 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Lucent Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $218.78 | Facility | None | $125.89 | $147.91 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $154.88 | Professional | None | $134.90 | $147.91 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $72.44 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $29.51 | $30.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.88 Typical High $22.91 | Professional | 55 · Aftercare only | $19.95 | $21.88 | $22.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.79 Typical High $15.49 | Professional | 56 · Pre-op care only | $13.49 | $14.79 | $15.49 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | None | $77.62 | $83.18 | $83.18 |
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 $125.89 Median $177.83 Typical High $218.78 | Facility | None | $125.89 | $177.83 | $218.78 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Facility | None | $204.17 | $204.17 | $239.88 |
United Setting Professional Modifier None Typical Low $15.14 Median $72.44 Typical High $125.89 | Professional | None | $15.14 | $72.44 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $239.88 | Professional | None | $177.83 | $239.88 | $239.88 |
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 5.0 times more in Hawaii than in Florida. 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
$138
HI $437FL $87.10
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.