How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,380 to $9,333Professionalmedian $275 · 10th to 90th $46 to $1,380
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 $1,148.15 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,258.93 | $1,659.59 |
BCBS Texas Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $9,549.93 | Facility | None | $1,479.11 | $2,818.38 | $9,549.93 |
BCBS Texas Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,862.09 | $2,511.89 |
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 $1,230.27 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,513.56 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,511.89 Typical High $6,760.83 | Facility | None | $1,000.00 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,288.25 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $223.87 Typical High $1,096.48 | Professional | None | $42.66 | $223.87 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $4,265.80 Typical High $6,165.95 | Facility | None | $933.25 | $4,265.80 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,513.56 | $2,187.76 |
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 $1,071.52 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,412.54 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $575.44 Median $616.60 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $245.47 Typical High $288.40 | Professional | 53 · Discontinued | $229.09 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $218.78 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $123.03 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $616.60 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $616.60 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $245.47 Typical High $288.40 | Professional | 53 · Discontinued | $229.09 | $245.47 | $288.40 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $123.03 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $123.03 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $1,000.00 |
Where Texas sits
The same service costs 18.6 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
$288
AK $5,370TX $288
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.