How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,585 to $13,183Professionalmedian $178 · 10th to 90th $29 to $891
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 $724.44 Median $794.33 Typical High $1,071.52 | Professional | None | $724.44 | $794.33 | $1,071.52 |
BCBS Texas Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $17,378.01 | Facility | None | $4,365.16 | $8,317.64 | $17,378.01 |
BCBS Texas Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,862.09 | Professional | None | $776.25 | $1,023.29 | $1,862.09 |
Christus Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $8,128.31 | Facility | None | $1,288.25 | $5,754.40 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,348.96 | Professional | None | $812.83 | $954.99 | $1,348.96 |
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 $13,803.84 Median $13,803.84 Typical High $13,803.84 | Professional | None | $13,803.84 | $13,803.84 | $13,803.84 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $2,238.72 Typical High $8,128.31 | Facility | None | $776.25 | $2,238.72 | $8,128.31 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,047.13 | Professional | None | $724.44 | $812.83 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $144.54 Typical High $707.95 | Professional | None | $27.54 | $144.54 | $707.95 |
Providence Setting Facility Modifier None Typical Low $1,148.15 Median $5,754.40 Typical High $10,000.00 | Facility | None | $1,148.15 | $5,754.40 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,348.96 | Professional | None | $758.58 | $954.99 | $1,348.96 |
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 $676.08 Median $870.96 Typical High $1,348.96 | Professional | None | $676.08 | $870.96 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $363.08 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $363.08 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $144.54 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $537.03 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $501.19 | $549.54 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $363.08 | $389.05 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $144.54 | $154.88 | $181.97 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $537.03 | $588.84 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $117.49 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $91.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $549.54 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $501.19 | $549.54 | $630.96 |
Where Texas sits
The same service costs 17.8 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
$191
AK $3,388TX $191
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.