How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,660 to $10,965Professionalmedian $162 · 10th to 90th $23 to $871
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 $977.24 Median $3,311.31 Typical High $8,709.64 | Facility | None | $977.24 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $977.24 | Professional | None | $645.65 | $724.44 | $977.24 |
BCBS Texas Setting Facility Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $13,803.84 | Facility | None | $2,951.21 | $5,623.41 | $13,803.84 |
BCBS Texas Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,230.27 | Professional | None | $707.95 | $912.01 | $1,230.27 |
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 $691.83 Median $4,265.80 Typical High $6,025.60 | Facility | None | $691.83 | $4,265.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,288.25 | Professional | None | $707.95 | $870.96 | $1,288.25 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,309.57 | $6,760.83 | $6,760.83 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,398.83 Typical High $6,025.60 | Facility | None | $707.95 | $2,398.83 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $977.24 | Professional | None | $645.65 | $724.44 | $977.24 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $120.23 Typical High $645.65 | Professional | None | $21.88 | $120.23 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,630.27 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,630.27 | $2,754.23 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $4,168.69 Typical High $6,606.93 | Facility | None | $707.95 | $4,168.69 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,258.93 | Professional | None | $707.95 | $870.96 | $1,258.93 |
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 $602.56 Median $794.33 Typical High $1,258.93 | Professional | None | $602.56 | $794.33 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $323.59 Median $354.81 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $128.82 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $537.03 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $107.15 Typical High $123.03 | Professional | 55 · Aftercare only | $97.72 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $501.19 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $501.19 | $575.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $354.81 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $354.81 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $141.25 | $162.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $537.03 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $537.03 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $107.15 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $107.15 | $120.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $81.28 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $501.19 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $501.19 | $562.34 |
Where Texas sits
The same service costs 7.6 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
$417
AK $3,162TX $417
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.