How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,318 to $6,310Professionalmedian $148 · 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 $977.24 Median $3,311.31 Typical High $8,709.64 | Facility | None | $977.24 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $870.96 | Professional | None | $588.84 | $645.65 | $870.96 |
BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $6,309.57 | Facility | None | $1,412.54 | $2,691.53 | $6,309.57 |
BCBS Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,096.48 | Professional | None | $645.65 | $812.83 | $1,096.48 |
Christus Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,630.27 Typical High $3,467.37 | Facility | None | $691.83 | $2,630.27 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,071.52 | Professional | None | $630.96 | $794.33 | $1,071.52 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $6,025.60 | Facility | None | $645.65 | $2,290.87 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $851.14 | Professional | None | $588.84 | $660.69 | $851.14 |
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 $691.83 Median $2,691.53 Typical High $6,165.95 | Facility | None | $691.83 | $2,691.53 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,071.52 | Professional | None | $630.96 | $794.33 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,047.13 | Professional | None | $537.03 | $691.83 | $1,047.13 |
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 $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 $87.10 Median $95.50 Typical High $112.20 | Professional | 55 · Aftercare only | $87.10 | $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 $323.59 Typical High $363.08 | Professional | 52 · Reduced service | $295.12 | $323.59 | $363.08 |
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 $549.54 | Professional | 54 · Surgery only | $436.52 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $95.50 | $109.65 |
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 $512.86 | Professional | 78 · Unplanned return to OR | $407.38 | $446.68 | $512.86 |
Where Texas sits
The same service costs 8.5 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
$339
AK $2,884TX $339
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.