How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,445 to $12,303Professionalmedian $3,467 · 10th to 90th $1,288 to $11,482
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 $1,230.27 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,230.27 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,513.56 | $2,290.87 |
BCBS Texas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Christus Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $8,709.64 Typical High $12,302.69 | Facility | None | $758.58 | $8,709.64 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $11,481.54 Typical High $11,481.54 | Professional | None | $10,715.19 | $11,481.54 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,884.03 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,445.44 | $1,513.56 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $8,511.38 Typical High $12,302.69 | Facility | None | $794.33 | $8,511.38 | $12,302.69 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,318.26 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $15,848.93 | Facility | None | $2,630.27 | $6,165.95 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,698.24 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
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 $724.44 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $288.40 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,148.15 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,096.48 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $229.09 Typical High $234.42 | Professional | 55 · Aftercare only | $218.78 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $144.54 | $151.36 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $758.58 | $794.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $288.40 | $302.00 | $316.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,148.15 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,096.48 | $1,148.15 | $1,174.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $229.09 Typical High $234.42 | Professional | 55 · Aftercare only | $218.78 | $229.09 | $234.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $144.54 | $151.36 | $158.49 |
Where Texas sits
The same service costs 4.9 times more in Alaska 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· 4th of 51
$4,571
AK $6,457IN $1,318
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.