How much rates vary
Facilitymedian $120 · 10th to 90th $102 to $178Professionalmedian $112 · 10th to 90th $55 to $1,318
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 $112.20 Median $117.49 Typical High $120.23 | Facility | None | $112.20 | $117.49 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | None | $109.65 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.78 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Professional | None | $870.96 | $870.96 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $177.83 | Facility | None | $102.33 | $120.23 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | None | $109.65 | $117.49 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $58.88 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $23.99 | $25.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.78 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $17.78 | $18.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $12.59 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
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 $102.33 Median $144.54 Typical High $177.83 | Facility | None | $102.33 | $144.54 | $177.83 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Facility | None | $162.18 | $162.18 | $190.55 |
United Setting Professional Modifier None Typical Low $15.14 Median $70.79 Typical High $100.00 | Professional | None | $15.14 | $70.79 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | None | $144.54 | $190.55 | $190.55 |
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 3.0 times more in Hawaii than in Indiana. 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· 22nd of 51
$112
HI $204IN $69.18
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.