How much rates vary
Facilitymedian $14,791 · 10th to 90th $3,548 to $32,359Professionalmedian $363 · 10th to 90th $58 to $1,905
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 $1,380.38 Median $4,073.80 Typical High $10,964.78 | Facility | None | $1,380.38 | $4,073.80 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,621.81 | $2,187.76 |
BCBS Texas Setting Facility Modifier None Typical Low $10,715.19 Median $19,054.61 Typical High $42,657.95 | Facility | None | $10,715.19 | $19,054.61 | $42,657.95 |
BCBS Texas Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,621.81 | $2,041.74 | $2,754.23 |
Christus Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $14,791.08 Typical High $22,387.21 | Facility | None | $758.58 | $14,791.08 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,659.59 | $1,995.26 | $2,884.03 |
Lucent Health Setting Professional Modifier None Typical Low $12,589.25 Median $13,489.63 Typical High $13,489.63 | Professional | None | $12,589.25 | $13,489.63 | $13,489.63 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,570.40 Typical High $8,511.38 | Facility | None | $1,096.48 | $2,570.40 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,659.59 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $275.42 Typical High $1,412.54 | Professional | None | $52.48 | $275.42 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $14,791.08 Typical High $22,387.21 | Facility | None | $794.33 | $14,791.08 | $22,387.21 |
Providence Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,621.81 | $1,995.26 | $2,818.38 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $10,000.00 Typical High $21,379.62 | Facility | None | $3,981.07 | $10,000.00 | $21,379.62 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,862.09 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $724.44 Median $812.83 Typical High $933.25 | Professional | 52 · Reduced service | $724.44 | $812.83 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $323.59 Typical High $371.54 | Professional | 53 · Discontinued | $295.12 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,202.26 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,096.48 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $245.47 Typical High $281.84 | Professional | 55 · Aftercare only | $218.78 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $162.18 Typical High $186.21 | Professional | 56 · Pre-op care only | $147.91 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,122.02 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,122.02 | $1,318.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $812.83 Typical High $912.01 | Professional | 52 · Reduced service | $724.44 | $812.83 | $912.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $323.59 Typical High $363.08 | Professional | 53 · Discontinued | $295.12 | $323.59 | $363.08 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,202.26 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,096.48 | $1,202.26 | $1,380.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | 55 · Aftercare only | $218.78 | $245.47 | $275.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $162.18 Typical High $181.97 | Professional | 56 · Pre-op care only | $147.91 | $162.18 | $181.97 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,122.02 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,122.02 | $1,288.25 |
Where Texas sits
The same service costs 7.8 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 $31,233KY $3,989
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.