How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,288 to $12,023Professionalmedian $145 · 10th to 90th $23 to $776
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 $1,122.02 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,122.02 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $891.25 | Professional | None | $630.96 | $707.95 | $891.25 |
BCBS Texas Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
BCBS Texas Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,445.44 | Professional | None | $676.08 | $870.96 | $1,445.44 |
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 $1,288.25 Median $3,715.35 Typical High $5,248.07 | Facility | None | $1,288.25 | $3,715.35 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,096.48 | Professional | None | $676.08 | $851.14 | $1,096.48 |
Health Smart Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,943.28 | $7,943.28 | $7,943.28 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $8,128.31 | Facility | None | $707.95 | $2,187.76 | $8,128.31 |
Moda Health Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $912.01 | Professional | None | $630.96 | $707.95 | $912.01 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $120.23 Typical High $645.65 | Professional | None | $21.88 | $120.23 | $645.65 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $3,890.45 Typical High $9,772.37 | Facility | None | $1,047.13 | $3,890.45 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,122.02 | Professional | None | $676.08 | $851.14 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,258.93 | $3,311.31 | $6,918.31 |
United Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,122.02 | Professional | None | $588.84 | $724.44 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $316.23 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $316.23 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $138.04 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $63.10 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $316.23 | $346.74 | $398.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $138.04 Typical High $158.49 | Professional | 53 · Discontinued | $125.89 | $138.04 | $158.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $524.81 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $120.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $63.10 | $69.18 | $79.43 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $562.34 |
Where Texas sits
The same service costs 17.4 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
$174
AK $3,020TX $174
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.