How much rates vary
Facilitymedian $1,622 · 10th to 90th $851 to $4,571Professionalmedian $513 · 10th to 90th $28 to $891
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 $724.44 Median $3,235.94 Typical High $8,511.38 | Facility | None | $724.44 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,071.52 | Professional | None | $501.19 | $676.08 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $741.31 | Professional | None | $371.54 | $676.08 | $741.31 |
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 $616.60 Median $776.25 Typical High $1,202.26 | Professional | None | $616.60 | $776.25 | $1,202.26 |
Baylor Scott & White Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $954.99 | Professional | None | $562.34 | $630.96 | $954.99 |
Christus Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $630.96 Median $776.25 Typical High $1,047.13 | Professional | None | $630.96 | $776.25 | $1,047.13 |
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 $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $1,905.46 Typical High $6,918.31 | Facility | None | $660.69 | $1,905.46 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $1,071.52 | Professional | None | $501.19 | $691.83 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $123.03 Typical High $691.83 | Professional | None | $20.42 | $123.03 | $691.83 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $6,165.95 | Facility | None | $676.08 | $1,513.56 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,047.13 | Professional | None | $630.96 | $776.25 | $1,047.13 |
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 $549.54 Median $758.58 Typical High $1,023.29 | Professional | None | $549.54 | $758.58 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $251.19 Median $295.12 Typical High $371.54 | Professional | 52 · Reduced service | $251.19 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | 53 · Discontinued | $100.00 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | 54 · Surgery only | $380.19 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | 55 · Aftercare only | $75.86 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | 56 · Pre-op care only | $50.12 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $416.87 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $295.12 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $117.49 | $144.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $446.68 Typical High $537.03 | Professional | 54 · Surgery only | $380.19 | $446.68 | $537.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | 55 · Aftercare only | $75.86 | $89.13 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 56 · Pre-op care only | $50.12 | $58.88 | $72.44 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $416.87 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $501.19 |
Where Texas sits
The same service costs 4.6 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
$589
AK $2,692TX $589
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.