How much rates vary
Facilitymedian $2,399 · 10th to 90th $708 to $6,026Professionalmedian $513 · 10th to 90th $29 to $977
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 $776.25 Median $2,570.40 Typical High $6,918.31 | Facility | None | $776.25 | $2,570.40 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $933.25 | Professional | None | $537.03 | $676.08 | $933.25 |
BCBS Texas Setting Facility Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $8,317.64 | Facility | None | $2,089.30 | $3,981.07 | $8,317.64 |
BCBS Texas Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,318.26 | Professional | None | $660.69 | $831.76 | $1,318.26 |
Christus Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,691.53 | Facility | None | $758.58 | $1,584.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,174.90 | Professional | None | $691.83 | $870.96 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,128.31 | Professional | None | $6,309.57 | $6,309.57 | $8,128.31 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $4,786.30 | Facility | None | $630.96 | $1,174.90 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,047.13 | Professional | None | $537.03 | $676.08 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $147.91 Typical High $831.76 | Professional | None | $25.12 | $147.91 | $831.76 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,479.11 Typical High $2,630.27 | Facility | None | $660.69 | $1,479.11 | $2,630.27 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,174.90 | Professional | None | $691.83 | $870.96 | $1,174.90 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Facility | None | $616.60 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,122.02 | Professional | None | $602.56 | $812.83 | $1,122.02 |
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 $269.15 Median $331.13 Typical High $416.87 | Professional | 52 · Reduced service | $269.15 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $131.83 Typical High $165.96 | Professional | 53 · Discontinued | $107.15 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $501.19 Typical High $630.96 | Professional | 54 · Surgery only | $407.38 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $100.00 Typical High $125.89 | Professional | 55 · Aftercare only | $81.28 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $66.07 Typical High $83.18 | Professional | 56 · Pre-op care only | $53.70 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $467.74 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $380.19 | $467.74 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $331.13 Typical High $407.38 | Professional | 52 · Reduced service | $269.15 | $331.13 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | 53 · Discontinued | $107.15 | $131.83 | $162.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $501.19 Typical High $616.60 | Professional | 54 · Surgery only | $407.38 | $501.19 | $616.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $100.00 Typical High $123.03 | Professional | 55 · Aftercare only | $81.28 | $100.00 | $123.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $66.07 Typical High $81.28 | Professional | 56 · Pre-op care only | $53.70 | $66.07 | $81.28 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $467.74 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $380.19 | $467.74 | $575.44 |
Where Texas sits
The same service costs 4.9 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 $2,884TX $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.