How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,950 to $10,965Professionalmedian $240 · 10th to 90th $40 to $1,122
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 $977.24 Median $2,754.23 Typical High $6,918.31 | Facility | None | $977.24 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,122.02 | $1,445.44 |
BCBS Texas Setting Facility Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $12,882.50 | Facility | None | $2,951.21 | $5,623.41 | $12,882.50 |
BCBS Texas Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,737.80 | $2,290.87 |
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 $724.44 Median $3,467.37 Typical High $4,897.79 | Facility | None | $724.44 | $3,467.37 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,288.25 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,995.26 Typical High $5,623.41 | Facility | None | $758.58 | $1,995.26 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,148.15 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $194.98 Typical High $912.01 | Professional | None | $37.15 | $194.98 | $912.01 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $3,630.78 Typical High $6,606.93 | Facility | None | $758.58 | $3,630.78 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,288.25 | $1,949.84 |
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 $933.25 Median $1,258.93 Typical High $1,905.46 | Professional | None | $933.25 | $1,258.93 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $512.86 Median $562.34 Typical High $645.65 | Professional | 52 · Reduced service | $512.86 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $223.87 Typical High $263.03 | Professional | 53 · Discontinued | $204.17 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $169.82 Typical High $194.98 | Professional | 55 · Aftercare only | $154.88 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $112.20 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | 52 · Reduced service | $512.86 | $562.34 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $223.87 Typical High $257.04 | Professional | 53 · Discontinued | $204.17 | $223.87 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $776.25 | $831.76 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 55 · Aftercare only | $154.88 | $169.82 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 56 · Pre-op care only | $102.33 | $112.20 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $891.25 |
Where Texas sits
The same service costs 16.6 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
$282
AK $4,677TX $282
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.