How much rates vary
Facilitymedian $10,715 · 10th to 90th $2,692 to $24,547Professionalmedian $13,183 · 10th to 90th $5,888 to $47,863
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 $1,202.26 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,202.26 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $6,165.95 Typical High $6,918.31 | Professional | None | $4,466.84 | $6,165.95 | $6,918.31 |
BCBS Texas Setting Facility Modifier None Typical Low $9,549.93 Median $16,982.44 Typical High $38,018.94 | Facility | None | $9,549.93 | $16,982.44 | $38,018.94 |
Christus Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $9,772.37 Typical High $13,803.84 | Facility | None | $758.58 | $9,772.37 | $13,803.84 |
Lucent Health Setting Professional Modifier None Typical Low $47,863.01 Median $47,863.01 Typical High $47,863.01 | Professional | None | $47,863.01 | $47,863.01 | $47,863.01 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $8,511.38 | Facility | None | $977.24 | $3,715.35 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $5,888.44 Median $6,165.95 Typical High $6,456.54 | Professional | None | $5,888.44 | $6,165.95 | $6,456.54 |
Oscar Health Setting Professional Modifier None Typical Low $26,915.35 Median $50,118.72 Typical High $58,884.37 | Professional | None | $26,915.35 | $50,118.72 | $58,884.37 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $10,000.00 Typical High $13,803.84 | Facility | None | $758.58 | $10,000.00 | $13,803.84 |
Providence 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 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $9,772.37 Typical High $20,892.96 | Facility | None | $3,981.07 | $9,772.37 | $20,892.96 |
United Setting Professional Modifier None Typical Low $7,943.28 Median $10,964.78 Typical High $17,378.01 | Professional | None | $7,943.28 | $10,964.78 | $17,378.01 |
Wellpoint Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | None | $13,182.57 | $13,182.57 | $13,182.57 |
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 $2,951.21 Median $3,090.30 Typical High $3,235.94 | Professional | 52 · Reduced service | $2,951.21 | $3,090.30 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,174.90 Median $1,230.27 Typical High $1,288.25 | Professional | 53 · Discontinued | $1,174.90 | $1,230.27 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,466.84 Median $4,570.88 Typical High $4,786.30 | Professional | 54 · Surgery only | $4,466.84 | $4,570.88 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $891.25 Median $912.01 Typical High $954.99 | Professional | 55 · Aftercare only | $891.25 | $912.01 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $588.84 Median $616.60 Typical High $645.65 | Professional | 56 · Pre-op care only | $588.84 | $616.60 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,951.21 Median $3,090.30 Typical High $3,235.94 | Professional | 52 · Reduced service | $2,951.21 | $3,090.30 | $3,235.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1,174.90 Median $1,230.27 Typical High $1,288.25 | Professional | 53 · Discontinued | $1,174.90 | $1,230.27 | $1,288.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $4,466.84 Median $4,570.88 Typical High $4,786.30 | Professional | 54 · Surgery only | $4,466.84 | $4,570.88 | $4,786.30 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $891.25 Median $912.01 Typical High $954.99 | Professional | 55 · Aftercare only | $891.25 | $912.01 | $954.99 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $588.84 Median $616.60 Typical High $645.65 | Professional | 56 · Pre-op care only | $588.84 | $616.60 | $645.65 |
Where Texas sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 16th of 51
$12,023
IN $18,197NE $1,096
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.