How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $6,761Professionalmedian $324 · 10th to 90th $49 to $1,175
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 $1,071.52 Median $3,801.89 Typical High $9,120.11 | Facility | None | $1,071.52 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,348.96 | Professional | None | $870.96 | $977.24 | $1,348.96 |
BCBS Texas Setting Facility Modifier None Typical Low $1,412.54 Median $3,019.95 Typical High $7,413.10 | Facility | None | $1,412.54 | $3,019.95 | $7,413.10 |
BCBS Texas Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,778.28 | Professional | None | $954.99 | $1,230.27 | $1,778.28 |
Christus Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,089.30 Typical High $3,801.89 | Facility | None | $954.99 | $2,089.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,548.82 | Professional | None | $954.99 | $1,174.90 | $1,548.82 |
Health Smart Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $8,511.38 | Professional | None | $7,585.78 | $7,585.78 | $8,511.38 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $2,570.40 Typical High $7,244.36 | Facility | None | $933.25 | $2,570.40 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,348.96 | Professional | None | $870.96 | $977.24 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $199.53 Typical High $870.96 | Professional | None | $40.74 | $199.53 | $870.96 |
Oscar Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $3,715.35 | Professional | None | $3,388.44 | $3,548.13 | $3,715.35 |
Providence Setting Facility Modifier None Typical Low $954.99 Median $2,290.87 Typical High $7,585.78 | Facility | None | $954.99 | $2,290.87 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,584.89 | Professional | None | $933.25 | $1,174.90 | $1,584.89 |
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 $794.33 Median $977.24 Typical High $1,548.82 | Professional | None | $794.33 | $977.24 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $436.52 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $776.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $190.55 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $660.69 | $724.44 | $812.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $758.58 |
Where Texas sits
The same service costs 7.6 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
$562
AK $4,266TX $562
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.