How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,514 to $10,471Professionalmedian $550 · 10th to 90th $35 to $955
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 $2,630.27 Typical High $6,918.31 | Facility | None | $724.44 | $2,630.27 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $912.01 | Professional | None | $562.34 | $707.95 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $12,589.25 | Facility | None | $2,398.83 | $4,897.79 | $12,589.25 |
BCBS Texas Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,122.02 | Professional | None | $549.54 | $741.31 | $1,122.02 |
Christus Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,467.37 Typical High $4,897.79 | Facility | None | $602.56 | $3,467.37 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,202.26 | Professional | None | $676.08 | $851.14 | $1,202.26 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $7,244.36 | Professional | None | $5,888.44 | $5,888.44 | $7,244.36 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,778.28 Typical High $4,897.79 | Facility | None | $630.96 | $1,778.28 | $4,897.79 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $912.01 | Professional | None | $562.34 | $707.95 | $912.01 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $147.91 Typical High $758.58 | Professional | None | $26.92 | $147.91 | $758.58 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $3,162.28 Typical High $4,786.30 | Facility | None | $616.60 | $3,162.28 | $4,786.30 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,202.26 | Professional | None | $676.08 | $851.14 | $1,202.26 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,202.26 | Professional | None | $575.44 | $812.83 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $281.84 Median $338.84 Typical High $426.58 | Professional | 52 · Reduced service | $281.84 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $169.82 | Professional | 53 · Discontinued | $112.20 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $416.87 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $102.33 Typical High $128.82 | Professional | 55 · Aftercare only | $83.18 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | 56 · Pre-op care only | $56.23 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $478.63 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $389.05 | $478.63 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $338.84 Typical High $426.58 | Professional | 52 · Reduced service | $281.84 | $338.84 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $169.82 | Professional | 53 · Discontinued | $112.20 | $134.90 | $169.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $416.87 | $512.86 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $102.33 Typical High $128.82 | Professional | 55 · Aftercare only | $83.18 | $102.33 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | 56 · Pre-op care only | $56.23 | $67.61 | $85.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $478.63 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $389.05 | $478.63 | $588.84 |
Where Texas sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 50th of 51
$562
AK $3,236UT $562
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.