How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,349 to $10,233Professionalmedian $288 · 10th to 90th $46 to $1,479
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 $3,801.89 Typical High $10,232.93 | Facility | None | $1,202.26 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,288.25 | $1,698.24 |
BCBS Texas Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,288.25 | $1,621.81 | $2,290.87 |
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 $1,288.25 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,584.89 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,511.89 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,511.89 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,318.26 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $223.87 Typical High $1,148.15 | Professional | None | $42.66 | $223.87 | $1,148.15 |
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 $1,258.93 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,258.93 | $1,584.89 | $2,187.76 |
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 $1,096.48 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,412.54 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $575.44 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $575.44 | $645.65 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,047.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $645.65 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $257.04 | $288.40 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,096.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,023.29 |
Where Texas sits
The same service costs 18.6 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
$302
AK $5,623TX $302
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.