How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,202 to $9,333Professionalmedian $214 · 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 $933.25 Median $1,047.13 Typical High $1,348.96 | Professional | None | $933.25 | $1,047.13 | $1,348.96 |
Christus Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $3,630.78 | Facility | None | $870.96 | $2,691.53 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,258.93 | $1,819.70 |
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 $8,128.31 Median $8,128.31 Typical High $8,912.51 | Professional | None | $8,128.31 | $8,128.31 | $8,912.51 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $6,760.83 | Facility | None | $977.24 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,348.96 | Professional | None | $933.25 | $1,047.13 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $177.83 Typical High $933.25 | Professional | None | $31.62 | $177.83 | $933.25 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $2,754.23 Typical High $6,760.83 | Facility | None | $933.25 | $2,754.23 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,258.93 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $11,748.98 | Facility | None | $2,137.96 | $5,248.07 | $11,748.98 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,778.28 | Professional | None | $870.96 | $1,148.15 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $467.74 Median $512.86 Typical High $602.56 | Professional | 52 · Reduced service | $467.74 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $208.93 Typical High $239.88 | Professional | 53 · Discontinued | $186.21 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $102.33 Typical High $120.23 | Professional | 56 · Pre-op care only | $93.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $724.44 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $467.74 | $512.86 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $208.93 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $870.96 | Professional | 54 · Surgery only | $707.95 | $776.25 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $154.88 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $93.33 | $102.33 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $660.69 | $724.44 | $812.83 |
Where Texas sits
The same service costs 19.5 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
$234
AK $4,571TX $234
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.