How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,148 to $10,715Professionalmedian $234 · 10th to 90th $35 to $1,202
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 $1,096.48 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,096.48 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,258.93 | Professional | None | $891.25 | $977.24 | $1,258.93 |
BCBS Texas Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,659.59 | Professional | None | $977.24 | $1,230.27 | $1,659.59 |
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 $870.96 Median $7,762.47 Typical High $10,964.78 | Facility | None | $870.96 | $7,762.47 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,621.81 | Professional | None | $977.24 | $1,202.26 | $1,621.81 |
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 $7,585.78 Median $7,585.78 Typical High $8,511.38 | Professional | None | $7,585.78 | $7,585.78 | $8,511.38 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $2,511.89 Typical High $6,760.83 | Facility | None | $954.99 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,258.93 | Professional | None | $891.25 | $1,000.00 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $173.78 Typical High $870.96 | Professional | None | $32.36 | $173.78 | $870.96 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $6,760.83 Typical High $10,715.19 | Facility | None | $912.01 | $6,760.83 | $10,715.19 |
Providence 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 |
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 $831.76 Median $1,071.52 Typical High $1,621.81 | Professional | None | $831.76 | $1,071.52 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $436.52 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $194.98 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $724.44 Typical High $851.14 | Professional | 54 · Surgery only | $660.69 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | 56 · Pre-op care only | $89.13 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $794.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $489.78 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $489.78 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $194.98 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $194.98 | $223.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $724.44 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $97.72 Typical High $109.65 | Professional | 56 · Pre-op care only | $89.13 | $97.72 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $776.25 |
Where Texas sits
The same service costs 8.7 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
$501
AK $4,365TX $501
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.