How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,585 to $11,482Professionalmedian $331 · 10th to 90th $52 to $1,778
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 $1,230.27 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,230.27 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,445.44 | $1,949.84 |
BCBS Texas Setting Facility Modifier None Typical Low $1,659.59 Median $3,162.28 Typical High $16,595.87 | Facility | None | $1,659.59 | $3,162.28 | $16,595.87 |
BCBS Texas Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,445.44 | $1,819.70 | $2,630.27 |
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 $794.33 Median $5,370.32 Typical High $7,585.78 | Facility | None | $794.33 | $5,370.32 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,778.28 | $2,511.89 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $15,135.61 Typical High $15,135.61 | Professional | None | $12,302.69 | $15,135.61 | $15,135.61 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $7,413.10 | Facility | None | $1,000.00 | $2,570.40 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,479.11 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $257.04 Typical High $1,318.26 | Professional | None | $47.86 | $257.04 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $5,248.07 Typical High $7,585.78 | Facility | None | $933.25 | $5,248.07 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,778.28 | $2,511.89 |
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 $1,230.27 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,584.89 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $660.69 Median $724.44 Typical High $831.76 | Professional | 52 · Reduced service | $660.69 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | 53 · Discontinued | $263.03 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,096.48 Typical High $1,258.93 | Professional | 54 · Surgery only | $977.24 | $1,096.48 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $218.78 Typical High $251.19 | Professional | 55 · Aftercare only | $194.98 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 56 · Pre-op care only | $131.83 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,023.29 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $912.01 | $1,023.29 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $724.44 Typical High $812.83 | Professional | 52 · Reduced service | $660.69 | $724.44 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | 53 · Discontinued | $263.03 | $288.40 | $331.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,096.48 Typical High $1,230.27 | Professional | 54 · Surgery only | $977.24 | $1,096.48 | $1,230.27 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $218.78 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $218.78 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | 56 · Pre-op care only | $131.83 | $144.54 | $162.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,023.29 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $912.01 | $1,023.29 | $1,148.15 |
Where Texas sits
The same service costs 8.9 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
$724
AK $6,457TX $724
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.