How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,380 to $8,511Professionalmedian $234 · 10th to 90th $35 to $1,148
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 $1,000.00 Median $3,311.31 Typical High $8,709.64 | Facility | None | $1,000.00 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,258.93 | Professional | None | $851.14 | $933.25 | $1,258.93 |
BCBS Texas Setting Facility Modifier None Typical Low $1,412.54 Median $3,548.13 Typical High $9,120.11 | Facility | None | $1,412.54 | $3,548.13 | $9,120.11 |
BCBS Texas Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,584.89 | Professional | None | $933.25 | $1,174.90 | $1,584.89 |
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 $933.25 Median $1,148.15 Typical High $1,659.59 | Professional | None | $933.25 | $1,148.15 | $1,659.59 |
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 $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 $870.96 Median $2,454.71 Typical High $6,025.60 | Facility | None | $870.96 | $2,454.71 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,202.26 | Professional | None | $851.14 | $954.99 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $169.82 Typical High $831.76 | Professional | None | $32.36 | $169.82 | $831.76 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $4,168.69 Typical High $6,606.93 | Facility | None | $758.58 | $4,168.69 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,698.24 | Professional | None | $933.25 | $1,148.15 | $1,698.24 |
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 $794.33 Median $1,023.29 Typical High $1,621.81 | Professional | None | $794.33 | $1,023.29 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
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 $537.03 | Professional | 52 · Reduced service | $426.58 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $213.80 | Professional | 53 · Discontinued | $169.82 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $630.96 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $588.84 | $660.69 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $467.74 | $524.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $213.80 | Professional | 53 · Discontinued | $169.82 | $186.21 | $213.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $707.95 Typical High $794.33 | Professional | 54 · Surgery only | $630.96 | $707.95 | $794.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $141.25 Typical High $158.49 | Professional | 55 · Aftercare only | $125.89 | $141.25 | $158.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $107.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $660.69 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $588.84 | $660.69 | $741.31 |
Where Texas sits
The same service costs 8.3 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 $4,169TX $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.