How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,455 to $12,882Professionalmedian $269 · 10th to 90th $46 to $1,230
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 $1,071.52 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,071.52 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,148.15 | $1,318.26 |
BCBS Texas Setting Facility Modifier None Typical Low $3,090.30 Median $5,888.44 Typical High $14,125.38 | Facility | None | $3,090.30 | $5,888.44 | $14,125.38 |
BCBS Texas Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,862.09 | $2,570.40 |
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 $758.58 Median $4,466.84 Typical High $6,309.57 | Facility | None | $758.58 | $4,466.84 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,412.54 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None | $15,135.61 | $15,135.61 | $15,135.61 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $6,025.60 | Facility | None | $1,000.00 | $1,995.26 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,148.15 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $218.78 Typical High $1,023.29 | Professional | None | $42.66 | $218.78 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $6,309.57 | Facility | None | $870.96 | $4,265.80 | $6,309.57 |
Providence Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,412.54 | $1,905.46 |
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 $977.24 Median $1,230.27 Typical High $1,905.46 | Professional | None | $977.24 | $1,230.27 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $512.86 Median $562.34 Typical High $660.69 | Professional | 52 · Reduced service | $512.86 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | 53 · Discontinued | $208.93 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $851.14 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $851.14 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $154.88 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $114.82 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $794.33 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $794.33 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | 52 · Reduced service | $512.86 | $562.34 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $229.09 Typical High $257.04 | Professional | 53 · Discontinued | $208.93 | $229.09 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $851.14 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $851.14 | $977.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $169.82 Typical High $194.98 | Professional | 55 · Aftercare only | $154.88 | $169.82 | $194.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $114.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $102.33 | $114.82 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $794.33 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $794.33 | $912.01 |
Where Texas sits
The same service costs 16.2 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
$309
AK $5,012TX $309
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.