How much rates vary
Facilitymedian $1,514 · 10th to 90th $759 to $7,762Professionalmedian $912 · 10th to 90th $66 to $1,820
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 $1,096.48 Median $1,258.93 Typical High $1,479.11 | Facility | None | $1,096.48 | $1,258.93 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,288.25 | $1,621.81 |
BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $3,630.78 | Facility | None | $724.44 | $1,096.48 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,801.89 | Professional | None | $1,148.15 | $1,819.70 | $3,801.89 |
Christus Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $2,290.87 | Facility | None | $724.44 | $1,047.13 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,659.59 | $2,344.23 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $13,803.84 | Professional | None | $11,481.54 | $11,481.54 | $13,803.84 |
Moda Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,344.23 | Facility | None | $1,047.13 | $1,584.89 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,288.25 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $309.03 Typical High $1,445.44 | Professional | None | $58.88 | $309.03 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,398.83 | Facility | None | $758.58 | $1,096.48 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,659.59 | $2,344.23 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $11,748.98 | Facility | None | $2,137.96 | $5,248.07 | $11,748.98 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,122.02 | $1,513.56 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
10 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 $501.19 Median $645.65 Typical High $812.83 | Professional | 52 · Reduced service | $501.19 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $199.53 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $194.98 Typical High $245.47 | Professional | 55 · Aftercare only | $151.36 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $128.82 Typical High $162.18 | Professional | 56 · Pre-op care only | $100.00 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $912.01 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $707.95 | $912.01 | $1,148.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $645.65 Typical High $812.83 | Professional | 52 · Reduced service | $501.19 | $645.65 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $199.53 | $263.03 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $194.98 Typical High $245.47 | Professional | 55 · Aftercare only | $151.36 | $194.98 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $128.82 Typical High $162.18 | Professional | 56 · Pre-op care only | $100.00 | $128.82 | $162.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $912.01 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $707.95 | $912.01 | $1,148.15 |
Where Texas sits
The same service costs 5.1 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
$933
AK $4,786TX $933
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.