How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,445 to $9,333Professionalmedian $3,890 · 10th to 90th $1,549 to $41,687
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 $2,570.40 Median $2,884.03 Typical High $3,235.94 | Facility | None | $2,570.40 | $2,884.03 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,570.40 | $2,884.03 | $3,311.31 |
BCBS Texas Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Christus Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $2,691.53 | Facility | None | $758.58 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,370.32 | Professional | None | $2,951.21 | $3,890.45 | $5,370.32 |
Lucent Health Setting Professional Modifier None Typical Low $37,153.52 Median $41,686.94 Typical High $41,686.94 | Professional | None | $37,153.52 | $41,686.94 | $41,686.94 |
Moda Health Setting Facility Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $4,677.35 | Facility | None | $2,570.40 | $3,235.94 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,235.94 | Professional | None | $2,570.40 | $2,884.03 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,288.25 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,949.84 Typical High $2,951.21 | Facility | None | $758.58 | $1,949.84 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,370.32 | Professional | None | $2,951.21 | $3,890.45 | $5,370.32 |
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 $1,584.89 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,630.27 | $4,265.80 |
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 $1,288.25 Median $1,445.44 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,288.25 | $1,445.44 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $575.44 Typical High $660.69 | Professional | 53 · Discontinued | $512.86 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $426.58 Typical High $501.19 | Professional | 55 · Aftercare only | $389.05 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $288.40 Typical High $331.13 | Professional | 56 · Pre-op care only | $257.04 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,995.26 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,995.26 | $2,344.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,445.44 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,288.25 | $1,445.44 | $1,621.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $575.44 Typical High $645.65 | Professional | 53 · Discontinued | $512.86 | $575.44 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $426.58 Typical High $489.78 | Professional | 55 · Aftercare only | $389.05 | $426.58 | $489.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $288.40 Typical High $323.59 | Professional | 56 · Pre-op care only | $257.04 | $288.40 | $323.59 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,995.26 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,995.26 | $2,290.87 |
Where Texas sits
The same service costs 21.4 times more in Alaska than in Kentucky. 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· 20th of 51
$3,890
AK $13,804KY $646
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.