How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,862 to $10,965Professionalmedian $537 · 10th to 90th $87 to $2,951
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 $1,202.26 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,202.26 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,454.71 | $3,019.95 |
BCBS Texas Setting Facility Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $12,589.25 | Facility | None | $1,905.46 | $3,467.37 | $12,589.25 |
BCBS Texas Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,073.80 | Professional | None | $2,398.83 | $3,019.95 | $4,073.80 |
Christus Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,754.40 Typical High $8,511.38 | Facility | None | $794.33 | $5,754.40 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,454.71 | $2,951.21 | $4,168.69 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $20,417.38 | Professional | None | $19,054.61 | $19,054.61 | $20,417.38 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,467.37 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,454.71 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $416.87 Typical High $2,137.96 | Professional | None | $79.43 | $416.87 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $5,754.40 Typical High $8,511.38 | Facility | None | $933.25 | $5,754.40 | $8,511.38 |
Providence Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,398.83 | $2,951.21 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,165.95 | $15,135.61 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,691.53 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $1,096.48 Median $1,202.26 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $562.34 | Professional | 53 · Discontinued | $436.52 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,819.70 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,621.81 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $363.08 Typical High $416.87 | Professional | 55 · Aftercare only | $323.59 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $281.84 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,698.24 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,698.24 | $1,949.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,202.26 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,348.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | 53 · Discontinued | $436.52 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,819.70 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,621.81 | $1,819.70 | $2,041.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $363.08 Typical High $407.38 | Professional | 55 · Aftercare only | $323.59 | $363.08 | $407.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $275.42 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $275.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,698.24 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,698.24 | $1,905.46 |
Where Texas sits
The same service costs 8.7 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
$1,230
AK $10,715TX $1,230
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.