How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,096 to $12,589Professionalmedian $427 · 10th to 90th $23 to $871
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 $891.25 Median $3,630.78 Typical High $8,709.64 | Facility | None | $891.25 | $3,630.78 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $891.25 | Professional | None | $562.34 | $707.95 | $891.25 |
BCBS Texas Setting Facility Modifier None Typical Low $4,168.69 Median $7,943.28 Typical High $17,378.01 | Facility | None | $4,168.69 | $7,943.28 | $17,378.01 |
BCBS Texas Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,621.81 | Professional | None | $588.84 | $870.96 | $1,621.81 |
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 $870.96 Median $3,467.37 Typical High $4,897.79 | Facility | None | $870.96 | $3,467.37 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | None | $645.65 | $794.33 | $1,071.52 |
Health Smart Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $6,456.54 | Professional | None | $5,623.41 | $5,623.41 | $6,456.54 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $1,288.25 Typical High $6,025.60 | Facility | None | $645.65 | $1,288.25 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $891.25 | Professional | None | $562.34 | $707.95 | $891.25 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $125.89 Typical High $676.08 | Professional | None | $21.38 | $125.89 | $676.08 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $6,760.83 | Facility | None | $741.31 | $3,388.44 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,071.52 | Professional | None | $630.96 | $794.33 | $1,071.52 |
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 $512.86 Median $691.83 Typical High $1,023.29 | Professional | None | $512.86 | $691.83 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
13 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 $281.84 Median $354.81 Typical High $426.58 | Professional | 52 · Reduced service | $281.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $112.20 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $645.65 | Professional | 54 · Surgery only | $426.58 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $87.10 | Professional | 56 · Pre-op care only | $56.23 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $398.11 | $489.78 | $602.56 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $281.84 | $354.81 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $112.20 | $141.25 | $169.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $426.58 | $524.81 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $83.18 | Professional | 56 · Pre-op care only | $56.23 | $70.79 | $83.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $398.11 | $489.78 | $588.84 |
Where Texas sits
The same service costs 6.6 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
$457
AK $3,020TX $457
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.