How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,995 to $20,417Professionalmedian $741 · 10th to 90th $126 to $3,890
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 $3,890.45 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,890.45 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,168.69 | Professional | None | $3,235.94 | $3,630.78 | $4,168.69 |
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 $3,630.78 Median $4,365.16 Typical High $6,456.54 | Professional | None | $3,630.78 | $4,365.16 | $6,456.54 |
Lucent Health Setting Professional Modifier None Typical Low $31,622.78 Median $31,622.78 Typical High $31,622.78 | Professional | None | $31,622.78 | $31,622.78 | $31,622.78 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,715.35 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,715.35 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,570.88 | Professional | None | $3,235.94 | $3,630.78 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $616.60 Typical High $3,162.28 | Professional | None | $114.82 | $616.60 | $3,162.28 |
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 $3,548.13 Median $4,365.16 Typical High $6,456.54 | Professional | None | $3,548.13 | $4,365.16 | $6,456.54 |
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 $3,090.30 Median $4,073.80 Typical High $6,165.95 | Professional | None | $3,090.30 | $4,073.80 | $6,165.95 |
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 |
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 $1,621.81 Median $1,819.70 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,621.81 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | 53 · Discontinued | $645.65 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,691.53 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,454.71 | $2,691.53 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $537.03 Typical High $616.60 | Professional | 55 · Aftercare only | $489.78 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $363.08 Typical High $416.87 | Professional | 56 · Pre-op care only | $323.59 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $2,511.89 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,511.89 | $2,884.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,621.81 Median $1,819.70 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,621.81 | $1,819.70 | $2,041.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 53 · Discontinued | $645.65 | $724.44 | $812.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,691.53 Typical High $3,019.95 | Professional | 54 · Surgery only | $2,454.71 | $2,691.53 | $3,019.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $537.03 Typical High $602.56 | Professional | 55 · Aftercare only | $489.78 | $537.03 | $602.56 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $363.08 Typical High $407.38 | Professional | 56 · Pre-op care only | $323.59 | $363.08 | $407.38 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $2,511.89 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,511.89 | $2,818.38 |
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
$776
AK $15,849TX $776
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.