How much rates vary
Facilitymedian $2,042 · 10th to 90th $794 to $8,318Professionalmedian $912 · 10th to 90th $65 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 $1,174.90 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,174.90 | $1,318.26 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,318.26 | $1,659.59 |
BCBS Texas Setting Facility Modifier None Typical Low $741.31 Median $1,258.93 Typical High $4,466.84 | Facility | None | $741.31 | $1,258.93 | $4,466.84 |
BCBS Texas Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,513.56 | $3,019.95 |
Christus Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $2,290.87 | Facility | None | $676.08 | $954.99 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,698.24 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $13,803.84 | Professional | None | $11,748.98 | $11,748.98 | $13,803.84 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,398.83 | Facility | None | $1,096.48 | $1,621.81 | $2,398.83 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,071.52 | $1,348.96 | $1,698.24 |
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 $724.44 Median $1,071.52 Typical High $2,398.83 | Facility | None | $724.44 | $1,071.52 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,318.26 | $1,698.24 | $2,454.71 |
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 $1,174.90 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,621.81 | $2,398.83 |
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 $537.03 Median $660.69 Typical High $831.76 | Professional | 52 · Reduced service | $537.03 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $213.80 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $199.53 Typical High $251.19 | Professional | 55 · Aftercare only | $162.18 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $131.83 Typical High $165.96 | Professional | 56 · Pre-op care only | $107.15 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $933.25 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $758.58 | $933.25 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $660.69 Typical High $831.76 | Professional | 52 · Reduced service | $537.03 | $660.69 | $831.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $213.80 | $263.03 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $199.53 Typical High $251.19 | Professional | 55 · Aftercare only | $162.18 | $199.53 | $251.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $131.83 Typical High $165.96 | Professional | 56 · Pre-op care only | $107.15 | $131.83 | $165.96 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $933.25 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $758.58 | $933.25 | $1,174.90 |
Where Texas sits
The same service costs 5.5 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 $5,129TX $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.