How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,514 to $9,333Professionalmedian $513 · 10th to 90th $87 to $2,692
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 $2,344.23 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,344.23 | $2,570.40 | $3,162.28 |
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 $794.33 Median $4,365.16 Typical High $6,165.95 | Facility | None | $794.33 | $4,365.16 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $4,365.16 | Professional | None | $2,630.27 | $3,162.28 | $4,365.16 |
Lucent Health Setting Professional Modifier None Typical Low $33,113.11 Median $33,113.11 Typical High $33,113.11 | Professional | None | $33,113.11 | $33,113.11 | $33,113.11 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,467.37 Typical High $6,918.31 | Facility | None | $977.24 | $3,467.37 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,630.27 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $426.58 Typical High $2,187.76 | Professional | None | $81.28 | $426.58 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $4,365.16 Typical High $6,165.95 | Facility | None | $933.25 | $4,365.16 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $4,365.16 | Professional | None | $2,511.89 | $3,162.28 | $4,365.16 |
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 $2,187.76 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,951.21 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $1,174.90 Median $1,288.25 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,174.90 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $512.86 Typical High $602.56 | Professional | 53 · Discontinued | $467.74 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,949.84 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,778.28 | $1,949.84 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $389.05 Typical High $446.68 | Professional | 55 · Aftercare only | $354.81 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $257.04 Typical High $302.00 | Professional | 56 · Pre-op care only | $234.42 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,819.70 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,819.70 | $2,089.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,288.25 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,174.90 | $1,288.25 | $1,479.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $512.86 Typical High $588.84 | Professional | 53 · Discontinued | $467.74 | $512.86 | $588.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,949.84 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,778.28 | $1,949.84 | $2,187.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $389.05 Typical High $436.52 | Professional | 55 · Aftercare only | $354.81 | $389.05 | $436.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $257.04 Typical High $295.12 | Professional | 56 · Pre-op care only | $234.42 | $257.04 | $295.12 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,819.70 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,819.70 | $2,041.74 |
Where Texas sits
The same service costs 20.9 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
$537
AK $11,220TX $537
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.