How much rates vary
Facilitymedian $1,660 · 10th to 90th $851 to $4,467Professionalmedian $617 · 10th to 90th $35 to $1,148
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 $812.83 Median $3,235.94 Typical High $8,511.38 | Facility | None | $812.83 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,148.15 | Professional | None | $575.44 | $812.83 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $954.99 | Professional | None | $288.40 | $316.23 | $954.99 |
BCBS Texas Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $4,677.35 | Facility | None | $912.01 | $1,905.46 | $4,677.35 |
BCBS Texas Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,412.54 | Professional | None | $707.95 | $912.01 | $1,412.54 |
Baylor Scott & White Setting Facility Modifier None Typical Low $741.31 Median $2,238.72 Typical High $6,456.54 | Facility | None | $741.31 | $2,238.72 | $6,456.54 |
Christus Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $2,691.53 | Facility | None | $691.83 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,258.93 | Professional | None | $724.44 | $933.25 | $1,258.93 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,943.28 | Professional | None | $6,760.83 | $6,760.83 | $7,943.28 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,511.89 Typical High $6,760.83 | Facility | None | $707.95 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,202.26 | Professional | None | $575.44 | $812.83 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $151.36 Typical High $831.76 | Professional | None | $25.12 | $151.36 | $831.76 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $1,513.56 Typical High $6,165.95 | Facility | None | $707.95 | $1,513.56 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,258.93 | Professional | None | $724.44 | $933.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,258.93 | Professional | None | $630.96 | $870.96 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
12 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 $288.40 Median $354.81 Typical High $446.68 | Professional | 52 · Reduced service | $288.40 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $177.83 | Professional | 53 · Discontinued | $114.82 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $660.69 | Professional | 54 · Surgery only | $426.58 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | 56 · Pre-op care only | $57.54 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $398.11 | $489.78 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $354.81 Typical High $436.52 | Professional | 52 · Reduced service | $288.40 | $354.81 | $436.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $177.83 | Professional | 53 · Discontinued | $114.82 | $141.25 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $660.69 | Professional | 54 · Surgery only | $426.58 | $524.81 | $660.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $131.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $70.79 Typical High $87.10 | Professional | 56 · Pre-op care only | $57.54 | $70.79 | $87.10 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $398.11 | $489.78 | $616.60 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 51st of 51
$708
AK $3,090TX $708
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.