How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,549 to $11,220Professionalmedian $389 · 10th to 90th $63 to $1,820
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 $1,318.26 Median $3,981.07 Typical High $10,471.29 | Facility | None | $1,318.26 | $3,981.07 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,513.56 | $1,995.26 |
BCBS Texas Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,949.84 | $2,570.40 |
Christus Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $7,762.47 Typical High $10,964.78 | Facility | None | $758.58 | $7,762.47 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,862.09 | $2,570.40 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Professional | None | $15,848.93 | $15,848.93 | $15,848.93 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $2,570.40 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,570.40 | $7,585.78 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,513.56 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $302.00 Typical High $1,479.11 | Professional | None | $56.23 | $302.00 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $7,585.78 Typical High $10,964.78 | Facility | None | $812.83 | $7,585.78 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,862.09 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,309.57 Typical High $15,848.93 | Facility | None | $2,630.27 | $6,309.57 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,659.59 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $660.69 Median $758.58 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $758.58 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $302.00 Typical High $346.74 | Professional | 53 · Discontinued | $263.03 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,122.02 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $223.87 Typical High $257.04 | Professional | 55 · Aftercare only | $199.53 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $151.36 Typical High $169.82 | Professional | 56 · Pre-op care only | $131.83 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,047.13 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $933.25 | $1,047.13 | $1,202.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $758.58 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $758.58 | $851.14 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $302.00 Typical High $338.84 | Professional | 53 · Discontinued | $263.03 | $302.00 | $338.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,122.02 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,258.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $223.87 Typical High $251.19 | Professional | 55 · Aftercare only | $199.53 | $223.87 | $251.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $151.36 Typical High $169.82 | Professional | 56 · Pre-op care only | $131.83 | $151.36 | $169.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,047.13 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $933.25 | $1,047.13 | $1,174.90 |
Where Texas sits
The same service costs 5.3 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $17,981KY $3,363
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.