How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,820 to $13,183Professionalmedian $302 · 10th to 90th $51 to $1,585
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 $1,380.38 Median $1,548.82 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,548.82 | $1,995.26 |
BCBS Texas Setting Facility Modifier None Typical Low $4,466.84 Median $8,317.64 Typical High $17,378.01 | Facility | None | $4,466.84 | $8,317.64 | $17,378.01 |
BCBS Texas Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,513.56 | $2,187.76 | $2,884.03 |
Christus Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,365.16 Typical High $6,165.95 | Facility | None | $758.58 | $4,365.16 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,862.09 | $2,570.40 |
Lucent Health Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $16,982.44 | Professional | None | $16,982.44 | $16,982.44 | $16,982.44 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,818.38 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,380.38 | $1,548.82 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $257.04 Typical High $1,288.25 | Professional | None | $47.86 | $257.04 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $6,165.95 | Facility | None | $870.96 | $4,265.80 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,862.09 | $2,570.40 |
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 $1,288.25 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,698.24 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $691.83 Median $758.58 Typical High $870.96 | Professional | 52 · Reduced service | $691.83 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $302.00 Typical High $354.81 | Professional | 53 · Discontinued | $275.42 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,122.02 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,047.13 | $1,122.02 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | 55 · Aftercare only | $208.93 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $151.36 Typical High $177.83 | Professional | 56 · Pre-op care only | $138.04 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,047.13 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $977.24 | $1,047.13 | $1,230.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 52 · Reduced service | $691.83 | $758.58 | $870.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $302.00 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $302.00 | $346.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,122.02 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,047.13 | $1,122.02 | $1,288.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $229.09 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $229.09 | $257.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 56 · Pre-op care only | $138.04 | $151.36 | $173.78 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,047.13 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $977.24 | $1,047.13 | $1,202.26 |
Where Texas sits
The same service costs 20.4 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
$324
AK $6,607TX $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.