How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,445 to $12,882Professionalmedian $245 · 10th to 90th $35 to $1,175
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 $851.14 Median $954.99 Typical High $1,288.25 | Professional | None | $851.14 | $954.99 | $1,288.25 |
BCBS Texas Setting Facility Modifier None Typical Low $5,754.40 Median $10,000.00 Typical High $22,908.68 | Facility | None | $5,754.40 | $10,000.00 | $22,908.68 |
BCBS Texas Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,659.59 | Professional | None | $954.99 | $1,202.26 | $1,659.59 |
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 $870.96 Median $4,265.80 Typical High $6,025.60 | Facility | None | $870.96 | $4,265.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,659.59 | Professional | None | $954.99 | $1,174.90 | $1,659.59 |
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 $7,413.10 Median $7,413.10 Typical High $8,128.31 | Professional | None | $7,413.10 | $7,413.10 | $8,128.31 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $2,511.89 Typical High $6,760.83 | Facility | None | $912.01 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,288.25 | Professional | None | $851.14 | $954.99 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $169.82 Typical High $851.14 | Professional | None | $32.36 | $169.82 | $851.14 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $4,265.80 Typical High $7,244.36 | Facility | None | $912.01 | $4,265.80 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,659.59 | Professional | None | $933.25 | $1,174.90 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,309.57 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,309.57 | $15,135.61 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,584.89 | Professional | None | $794.33 | $1,047.13 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
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 $426.58 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $169.82 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $467.74 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $213.80 | Professional | 53 · Discontinued | $169.82 | $190.55 | $213.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $707.95 | $812.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $107.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $758.58 |
Where Texas sits
The same service costs 7.9 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
$525
AK $4,169TX $525
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.