How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,047 to $9,550Professionalmedian $331 · 10th to 90th $54 to $661
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 $851.14 Median $2,754.23 Typical High $6,918.31 | Facility | None | $851.14 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $660.69 | Professional | None | $446.68 | $489.78 | $660.69 |
BCBS Texas Setting Facility Modifier None Typical Low $2,754.23 Median $4,786.30 Typical High $9,772.37 | Facility | None | $2,754.23 | $4,786.30 | $9,772.37 |
BCBS Texas Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $831.76 | Professional | None | $489.78 | $616.60 | $831.76 |
Christus Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,041.74 Typical High $2,691.53 | Facility | None | $602.56 | $2,041.74 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $912.01 | Professional | None | $501.19 | $602.56 | $912.01 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,128.61 | $6,606.93 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $1,905.46 Typical High $5,495.41 | Facility | None | $512.86 | $1,905.46 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $676.08 | Professional | None | $446.68 | $501.19 | $676.08 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $251.19 Typical High $478.63 | Professional | None | $51.29 | $251.19 | $478.63 |
Oscar Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,905.46 | Professional | None | $1,737.80 | $1,819.70 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $2,041.74 Typical High $4,466.84 | Facility | None | $575.44 | $2,041.74 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $891.25 | Professional | None | $478.63 | $602.56 | $891.25 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $14,791.08 | Facility | None | $2,630.27 | $6,165.95 | $14,791.08 |
United Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $912.01 | Professional | None | $416.87 | $575.44 | $912.01 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
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 $218.78 Median $245.47 Typical High $281.84 | Professional | 52 · Reduced service | $218.78 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | 53 · Discontinued | $89.13 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $426.58 | Professional | 54 · Surgery only | $331.13 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $85.11 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $48.98 Typical High $56.23 | Professional | 56 · Pre-op care only | $44.67 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | 52 · Reduced service | $218.78 | $245.47 | $275.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | 53 · Discontinued | $89.13 | $97.72 | $112.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $363.08 | $416.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $83.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $48.98 Typical High $54.95 | Professional | 56 · Pre-op care only | $44.67 | $48.98 | $54.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $389.05 |
Where Texas sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 50th of 51
$339
AK $2,188UT $331
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.