How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,549 to $13,490Professionalmedian $331 · 10th to 90th $52 to $1,622
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 $1,230.27 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,230.27 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,348.96 | $1,778.28 |
BCBS Texas Setting Facility Modifier None Typical Low $5,128.61 Median $9,772.37 Typical High $21,379.62 | Facility | None | $5,128.61 | $9,772.37 | $21,379.62 |
BCBS Texas Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,348.96 | $1,698.24 | $2,290.87 |
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 $707.95 Median $4,265.80 Typical High $6,025.60 | Facility | None | $707.95 | $4,265.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,659.59 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $11,481.54 | Professional | None | $10,471.29 | $10,471.29 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,511.89 Typical High $7,943.28 | Facility | None | $870.96 | $2,511.89 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,380.38 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $251.19 Typical High $1,230.27 | Professional | None | $47.86 | $251.19 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $4,365.16 Typical High $6,606.93 | Facility | None | $758.58 | $4,365.16 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,659.59 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $10,232.93 | Facility | None | $1,698.24 | $4,570.88 | $10,232.93 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $2,137.96 | Professional | None | $977.24 | $1,380.38 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $602.56 Median $676.08 Typical High $776.25 | Professional | 52 · Reduced service | $602.56 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $269.15 Typical High $309.03 | Professional | 53 · Discontinued | $245.47 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,000.00 Typical High $1,174.90 | Professional | 54 · Surgery only | $912.01 | $1,000.00 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $204.17 Typical High $234.42 | Professional | 55 · Aftercare only | $181.97 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $134.90 Typical High $154.88 | Professional | 56 · Pre-op care only | $123.03 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $933.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $851.14 | $933.25 | $1,096.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $676.08 Typical High $758.58 | Professional | 52 · Reduced service | $602.56 | $676.08 | $758.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $269.15 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $269.15 | $302.00 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,000.00 Typical High $1,148.15 | Professional | 54 · Surgery only | $912.01 | $1,000.00 | $1,148.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $204.17 Typical High $229.09 | Professional | 55 · Aftercare only | $181.97 | $204.17 | $229.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $134.90 Typical High $151.36 | Professional | 56 · Pre-op care only | $123.03 | $134.90 | $151.36 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $933.25 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $851.14 | $933.25 | $1,071.52 |
Where Texas sits
The same service costs 8.9 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
$676
AK $6,026TX $676
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.