How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,995 to $20,417Professionalmedian $631 · 10th to 90th $102 to $3,388
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 $1,122.02 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $3,467.37 | Professional | None | $2,691.53 | $2,951.21 | $3,467.37 |
BCBS Texas Setting Professional Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,951.21 | $3,162.28 | $4,897.79 |
Christus Setting Facility Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $16,982.44 | Facility | None | $16,982.44 | $16,982.44 | $16,982.44 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $15,848.93 Typical High $22,387.21 | Facility | None | $794.33 | $15,848.93 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $4,786.30 | Professional | None | $2,951.21 | $3,630.78 | $4,786.30 |
Lucent Health Setting Professional Modifier None Typical Low $28,183.83 Median $28,183.83 Typical High $28,183.83 | Professional | None | $28,183.83 | $28,183.83 | $28,183.83 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,548.13 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,801.89 | Professional | None | $2,691.53 | $3,019.95 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $512.86 Typical High $2,630.27 | Professional | None | $93.33 | $512.86 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $15,488.17 Typical High $22,387.21 | Facility | None | $933.25 | $15,488.17 | $22,387.21 |
Providence Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $4,786.30 | Professional | None | $2,951.21 | $3,630.78 | $4,786.30 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $9,772.37 Typical High $21,379.62 | Facility | None | $3,981.07 | $9,772.37 | $21,379.62 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $5,128.61 | Professional | None | $2,570.40 | $3,235.94 | $5,128.61 |
Wellpoint Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $1,348.96 Median $1,479.11 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,348.96 | $1,479.11 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $602.56 Typical High $691.83 | Professional | 53 · Discontinued | $537.03 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,238.72 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,995.26 | $2,238.72 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $446.68 Typical High $512.86 | Professional | 55 · Aftercare only | $407.38 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $295.12 Typical High $346.74 | Professional | 56 · Pre-op care only | $269.15 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,089.30 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,089.30 | $2,398.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,479.11 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,348.96 | $1,479.11 | $1,698.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | 53 · Discontinued | $537.03 | $602.56 | $676.08 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,238.72 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,995.26 | $2,238.72 | $2,511.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $446.68 Typical High $501.19 | Professional | 55 · Aftercare only | $407.38 | $446.68 | $501.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $295.12 Typical High $338.84 | Professional | 56 · Pre-op care only | $269.15 | $295.12 | $338.84 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,089.30 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,089.30 | $2,344.23 |
Where Texas sits
The same service costs 20.4 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
$646
AK $13,183TX $646
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.