How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,202 to $8,318Professionalmedian $282 · 10th to 90th $46 to $1,380
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 $1,202.26 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,202.26 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,288.25 | $1,584.89 |
BCBS Texas Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $6,606.93 | Facility | None | $1,096.48 | $2,754.23 | $6,606.93 |
BCBS Texas Setting Professional Modifier None Typical Low $363.08 Median $1,584.89 Typical High $3,090.30 | Professional | None | $363.08 | $1,584.89 | $3,090.30 |
Christus Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,466.84 Typical High $6,309.57 | Facility | None | $794.33 | $4,466.84 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,548.82 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | None | $13,489.63 | $13,489.63 | $13,489.63 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,235.94 Typical High $10,232.93 | Facility | None | $1,000.00 | $3,235.94 | $10,232.93 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,288.25 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $223.87 Typical High $1,122.02 | Professional | None | $42.66 | $223.87 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $4,365.16 Typical High $6,309.57 | Facility | None | $933.25 | $4,365.16 | $6,309.57 |
Providence Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,548.82 | $2,187.76 |
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 $1,096.48 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,412.54 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $575.44 Median $630.96 Typical High $741.31 | Professional | 52 · Reduced service | $575.44 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $125.89 Typical High $147.91 | Professional | 56 · Pre-op care only | $114.82 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $630.96 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $630.96 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $251.19 | $295.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,096.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $125.89 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $125.89 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,023.29 |
Where Texas sits
The same service costs 17.0 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
$324
AK $5,495TX $324
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.