How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,514 to $9,333Professionalmedian $741 · 10th to 90th $120 to $4,074
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 $1,202.26 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,202.26 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $4,073.80 | Professional | None | $3,162.28 | $3,548.13 | $4,073.80 |
Christus Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,370.32 Typical High $7,585.78 | Facility | None | $758.58 | $5,370.32 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $5,495.41 | Professional | None | $3,388.44 | $4,265.80 | $5,495.41 |
Lucent Health Setting Professional Modifier None Typical Low $28,183.83 Median $28,183.83 Typical High $29,512.09 | Professional | None | $28,183.83 | $28,183.83 | $29,512.09 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,548.13 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $4,466.84 | Professional | None | $3,162.28 | $3,548.13 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $602.56 Typical High $3,090.30 | Professional | None | $109.65 | $602.56 | $3,090.30 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $5,370.32 Typical High $7,585.78 | Facility | None | $794.33 | $5,370.32 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $5,495.41 | Professional | None | $3,311.31 | $4,265.80 | $5,495.41 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $5,754.40 | Professional | None | $2,951.21 | $3,715.35 | $5,754.40 |
Wellpoint Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
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 $1,584.89 Median $1,737.80 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,584.89 | $1,737.80 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $707.95 Typical High $812.83 | Professional | 53 · Discontinued | $630.96 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,630.27 Typical High $3,019.95 | Professional | 54 · Surgery only | $2,398.83 | $2,630.27 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 55 · Aftercare only | $478.63 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $354.81 Typical High $407.38 | Professional | 56 · Pre-op care only | $316.23 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,454.71 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,454.71 | $2,818.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,737.80 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,584.89 | $1,737.80 | $1,995.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $707.95 Typical High $794.33 | Professional | 53 · Discontinued | $630.96 | $707.95 | $794.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,630.27 Typical High $3,019.95 | Professional | 54 · Surgery only | $2,398.83 | $2,630.27 | $3,019.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 55 · Aftercare only | $478.63 | $524.81 | $602.56 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $354.81 Typical High $398.11 | Professional | 56 · Pre-op care only | $316.23 | $354.81 | $398.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,454.71 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,454.71 | $2,818.38 |
Where Texas sits
The same service costs 20.4 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
$759
AK $15,488TX $759
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.