How much rates vary
Facilitymedian $71 · 10th to 90th $60 to $102Professionalmedian $66 · 10th to 90th $31 to $646
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 $66.07 Median $69.18 Typical High $70.79 | Facility | None | $66.07 | $69.18 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $70.79 | Professional | None | $60.26 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.47 Typical High $10.72 | Professional | 55 · Aftercare only | $8.91 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.92 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.03 | $6.92 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $645.65 | Professional | None | $426.58 | $645.65 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $104.71 | Facility | None | $60.26 | $70.79 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $70.79 | Professional | None | $61.66 | $69.18 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $34.67 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $13.80 | $14.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.47 Typical High $10.72 | Professional | 55 · Aftercare only | $9.33 | $10.47 | $10.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.92 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.17 | $6.92 | $7.08 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | None | $36.31 | $39.81 | $39.81 |
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 $60.26 Median $85.11 Typical High $104.71 | Facility | None | $60.26 | $85.11 | $104.71 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Facility | None | $72.44 | $72.44 | $85.11 |
United Setting Professional Modifier None Typical Low $15.14 Median $38.90 Typical High $44.67 | Professional | None | $15.14 | $38.90 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 4.2 times more in Minnesota than in Alaska. 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· 7th of 51
$66.07
MN $85.11AK $20.42
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.