How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,413 to $8,318Professionalmedian $155 · 10th to 90th $23 to $832
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 $9,120.11 | Facility | None | $977.24 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $912.01 | Professional | None | $616.60 | $676.08 | $912.01 |
BCBS Texas Setting Facility Modifier None Typical Low $1,445.44 Median $3,019.95 Typical High $7,244.36 | Facility | None | $1,445.44 | $3,019.95 | $7,244.36 |
BCBS Texas Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,148.15 | Professional | None | $676.08 | $870.96 | $1,148.15 |
Christus Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,089.30 Typical High $2,754.23 | Facility | None | $707.95 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,122.02 | Professional | None | $676.08 | $831.76 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,025.60 | Professional | None | $5,370.32 | $5,370.32 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $2,041.74 Typical High $6,025.60 | Facility | None | $691.83 | $2,041.74 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $912.01 | Professional | None | $616.60 | $691.83 | $912.01 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $117.49 Typical High $616.60 | Professional | None | $21.88 | $117.49 | $616.60 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $6,456.54 | Facility | None | $707.95 | $2,187.76 | $6,456.54 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,122.02 | Professional | None | $676.08 | $831.76 | $1,122.02 |
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 $575.44 Median $724.44 Typical High $1,122.02 | Professional | None | $575.44 | $724.44 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
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 $309.03 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $338.84 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $134.90 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | 54 · Surgery only | $457.09 | $512.86 | $575.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $114.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $77.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $537.03 |
Where Texas sits
The same service costs 7.8 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
$389
AK $3,020TX $389
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.