How much rates vary
Facilitymedian $3,890 · 10th to 90th $912 to $9,550Professionalmedian $380 · 10th to 90th $34 to $759
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 $3,801.89 Typical High $10,232.93 | Facility | None | $1,000.00 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $870.96 | Professional | None | $575.44 | $645.65 | $870.96 |
BCBS Texas Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $4,466.84 | Facility | None | $776.25 | $1,412.54 | $4,466.84 |
BCBS Texas Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,174.90 | Professional | None | $575.44 | $758.58 | $1,174.90 |
Christus Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,265.80 Typical High $6,025.60 | Facility | None | $758.58 | $4,265.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,288.25 | Professional | None | $660.69 | $794.33 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,454.71 Typical High $6,918.31 | Facility | None | $707.95 | $2,454.71 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $891.25 | Professional | None | $575.44 | $660.69 | $891.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $173.78 Typical High $602.56 | Professional | None | $33.11 | $173.78 | $602.56 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $4,168.69 Typical High $6,025.60 | Facility | None | $645.65 | $4,168.69 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,258.93 | Professional | None | $645.65 | $794.33 | $1,258.93 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,165.95 | $15,135.61 |
United Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,202.26 | Professional | None | $562.34 | $776.25 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $288.40 Median $323.59 Typical High $380.19 | Professional | 52 · Reduced service | $288.40 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $87.10 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $64.57 Typical High $75.86 | Professional | 56 · Pre-op care only | $57.54 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $457.09 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $457.09 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $288.40 | $323.59 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $147.91 | Professional | 53 · Discontinued | $114.82 | $128.82 | $147.91 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $489.78 | $562.34 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $87.10 | $97.72 | $112.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $57.54 | $64.57 | $74.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $457.09 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $457.09 | $524.81 |
Where Texas sits
The same service costs 7.2 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
$398
AK $2,884TX $398
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.