How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,514 to $10,233Professionalmedian $141 · 10th to 90th $23 to $759
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 $1,148.15 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,148.15 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $933.25 | Professional | None | $616.60 | $691.83 | $933.25 |
BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $12,589.25 | Facility | None | $2,398.83 | $4,897.79 | $12,589.25 |
BCBS Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,584.89 | Professional | None | $676.08 | $870.96 | $1,584.89 |
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 $831.76 Typical High $1,122.02 | Professional | None | $676.08 | $831.76 | $1,122.02 |
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 $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $2,570.40 Typical High $13,803.84 | Facility | None | $691.83 | $2,570.40 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $933.25 | Professional | None | $616.60 | $691.83 | $933.25 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $117.49 Typical High $602.56 | Professional | None | $21.88 | $117.49 | $602.56 |
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 $831.76 Typical High $1,122.02 | Professional | None | $676.08 | $831.76 | $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 $575.44 Median $741.31 Typical High $1,148.15 | Professional | None | $575.44 | $741.31 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $309.03 Median $338.84 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $512.86 Typical High $588.84 | Professional | 54 · Surgery only | $467.74 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $436.52 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $338.84 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $134.90 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $512.86 Typical High $588.84 | Professional | 54 · Surgery only | $467.74 | $512.86 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $77.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $436.52 | $478.63 | $549.54 |
Where Texas sits
The same service costs 8.5 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
$355
AK $3,020TX $355
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.