How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,514 to $9,333Professionalmedian $407 · 10th to 90th $68 to $2,239
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 $1,905.46 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,137.96 | $2,630.27 |
BCBS Texas Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,691.53 | $3,630.78 |
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 $2,137.96 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,137.96 | $2,570.40 | $3,630.78 |
Lucent Health Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $22,387.21 | Professional | None | $22,387.21 | $22,387.21 | $22,387.21 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,235.94 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,235.94 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,905.46 | $2,137.96 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $346.74 Typical High $1,819.70 | Professional | None | $63.10 | $346.74 | $1,819.70 |
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 $2,089.30 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,570.40 | $3,630.78 |
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 $1,819.70 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,819.70 | $2,344.23 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $954.99 Median $1,047.13 Typical High $1,230.27 | Professional | 52 · Reduced service | $954.99 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $426.58 Typical High $489.78 | Professional | 53 · Discontinued | $380.19 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,584.89 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,445.44 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $316.23 Typical High $363.08 | Professional | 55 · Aftercare only | $288.40 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $208.93 Typical High $245.47 | Professional | 56 · Pre-op care only | $190.55 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,479.11 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,479.11 | $1,698.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $1,047.13 Typical High $1,202.26 | Professional | 52 · Reduced service | $954.99 | $1,047.13 | $1,202.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $426.58 Typical High $478.63 | Professional | 53 · Discontinued | $380.19 | $426.58 | $478.63 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,584.89 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,445.44 | $1,584.89 | $1,778.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $316.23 Typical High $363.08 | Professional | 55 · Aftercare only | $288.40 | $316.23 | $363.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $208.93 Typical High $239.88 | Professional | 56 · Pre-op care only | $190.55 | $208.93 | $239.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,479.11 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,479.11 | $1,659.59 |
Where Texas sits
The same service costs 21.9 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
$427
AK $9,333TX $427
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.