How much rates vary
Facilitymedian $2,138 · 10th to 90th $501 to $11,749Professionalmedian $10,233 · 10th to 90th $1,318 to $12,589
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,122.02 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,318.26 | $1,348.96 | $1,479.11 |
BCBS Texas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,513.56 Typical High $11,748.98 | Facility | None | $660.69 | $1,513.56 | $11,748.98 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $12,589.25 Typical High $12,589.25 | Professional | None | $10,232.93 | $12,589.25 | $12,589.25 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,041.74 Typical High $6,918.31 | Facility | None | $977.24 | $2,041.74 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,348.96 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $2,041.74 Typical High $251,188.64 | Facility | None | $812.83 | $2,041.74 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,047.13 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,584.89 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
10 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $660.69 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $263.03 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,023.29 Typical High $1,071.52 | Professional | 54 · Surgery only | $977.24 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $194.98 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $131.83 | $134.90 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $660.69 | $676.08 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $263.03 | $275.42 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,023.29 Typical High $1,071.52 | Professional | 54 · Surgery only | $977.24 | $1,023.29 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $194.98 | $204.17 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $131.83 | $134.90 | $141.25 |
Where Texas sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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
$2,455
AK $5,888AR $871
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.