How much rates vary
Facilitymedian $2,239 · 10th to 90th $646 to $5,754Professionalmedian $155 · 10th to 90th $23 to $759
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 $707.95 Median $2,290.87 Typical High $6,918.31 | Facility | None | $707.95 | $2,290.87 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $812.83 | Professional | None | $588.84 | $645.65 | $812.83 |
BCBS Texas Setting Facility Modifier None Typical Low $1,862.09 Median $4,466.84 Typical High $8,317.64 | Facility | None | $1,862.09 | $4,466.84 | $8,317.64 |
BCBS Texas Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,047.13 | Professional | None | $616.60 | $776.25 | $1,047.13 |
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 $457.09 Median $1,905.46 Typical High $2,691.53 | Facility | None | $457.09 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $977.24 | Professional | None | $602.56 | $776.25 | $977.24 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,888.44 | Professional | None | $4,897.79 | $4,897.79 | $5,888.44 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,778.28 Typical High $5,248.07 | Facility | None | $588.84 | $1,778.28 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $870.96 | Professional | None | $588.84 | $645.65 | $870.96 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $117.49 Typical High $602.56 | Professional | None | $21.38 | $117.49 | $602.56 |
Oscar Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,454.71 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $1,905.46 Typical High $3,890.45 | Facility | None | $501.19 | $1,905.46 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $977.24 | Professional | None | $602.56 | $776.25 | $977.24 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Facility | None | $616.60 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $977.24 | Professional | None | $501.19 | $630.96 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $316.23 Typical High $371.54 | Professional | 52 · Reduced service | $295.12 | $316.23 | $371.54 |
Aetna 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 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $478.63 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $95.50 Typical High $112.20 | Professional | 55 · Aftercare only | $89.13 | $95.50 | $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 $407.38 Median $446.68 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $446.68 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $316.23 Typical High $371.54 | Professional | 52 · Reduced service | $295.12 | $316.23 | $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 $436.52 Median $478.63 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $478.63 | $562.34 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $95.50 Typical High $112.20 | Professional | 55 · Aftercare only | $89.13 | $95.50 | $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 $407.38 Median $446.68 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $446.68 | $524.81 |
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
$355
AK $2,754TX $355
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.