How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,000 to $10,000Professionalmedian $158 · 10th to 90th $23 to $794
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 $741.31 Median $3,715.35 Typical High $9,120.11 | Facility | None | $741.31 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $758.58 | Professional | None | $588.84 | $660.69 | $758.58 |
BCBS Texas Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,096.48 | Professional | None | $645.65 | $831.76 | $1,096.48 |
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 $758.58 Median $4,265.80 Typical High $6,025.60 | Facility | None | $758.58 | $4,265.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,148.15 | Professional | None | $645.65 | $794.33 | $1,148.15 |
Lucent Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,754.40 | Professional | None | $5,495.41 | $5,495.41 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $1,819.70 Typical High $6,918.31 | Facility | None | $645.65 | $1,819.70 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $870.96 | Professional | None | $588.84 | $660.69 | $870.96 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $117.49 Typical High $588.84 | Professional | None | $21.88 | $117.49 | $588.84 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $4,168.69 Typical High $6,025.60 | Facility | None | $645.65 | $4,168.69 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,148.15 | Professional | None | $645.65 | $794.33 | $1,148.15 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,165.95 | $15,135.61 |
United Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,122.02 | Professional | None | $549.54 | $724.44 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $295.12 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $295.12 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $128.82 Typical High $151.36 | Professional | 53 · Discontinued | $117.49 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $489.78 Typical High $562.34 | Professional | 54 · Surgery only | $446.68 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $89.13 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $58.88 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $457.09 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $416.87 | $457.09 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $295.12 | $323.59 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $128.82 Typical High $147.91 | Professional | 53 · Discontinued | $117.49 | $128.82 | $147.91 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $489.78 Typical High $549.54 | Professional | 54 · Surgery only | $446.68 | $489.78 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $89.13 | $97.72 | $112.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $58.88 | $64.57 | $74.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $457.09 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $416.87 | $457.09 | $512.86 |
Where Texas sits
The same service costs 8.7 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
$331
AK $2,884TX $331
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.