How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,549 to $11,482Professionalmedian $186 · 10th to 90th $29 to $1,148
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 $1,000.00 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,000.00 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,288.25 | Professional | None | $870.96 | $977.24 | $1,288.25 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $14,125.38 | Facility | None | $2,398.83 | $5,370.32 | $14,125.38 |
BCBS Texas Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,511.89 | Professional | None | $912.01 | $1,202.26 | $2,511.89 |
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 $758.58 Median $3,467.37 Typical High $4,897.79 | Facility | None | $758.58 | $3,467.37 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,819.70 | Professional | None | $954.99 | $1,148.15 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,762.47 | Professional | None | $7,585.78 | $7,585.78 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,290.87 Typical High $6,025.60 | Facility | None | $870.96 | $2,290.87 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,202.26 | Professional | None | $870.96 | $977.24 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $154.88 Typical High $831.76 | Professional | None | $26.92 | $154.88 | $831.76 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $3,388.44 Typical High $4,897.79 | Facility | None | $870.96 | $3,388.44 | $4,897.79 |
Providence Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,819.70 | Professional | None | $954.99 | $1,148.15 | $1,819.70 |
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 $891.25 Median $1,148.15 Typical High $1,737.80 | Professional | None | $891.25 | $1,148.15 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $436.52 Median $478.63 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $707.95 Typical High $851.14 | Professional | 54 · Surgery only | $660.69 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $660.69 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $616.60 | $660.69 | $794.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $190.55 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $707.95 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $707.95 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $660.69 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $660.69 | $776.25 |
Where Texas sits
The same service costs 7.9 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
$513
AK $4,074TX $513
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.