How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,089 to $12,589Professionalmedian $245 · 10th to 90th $35 to $1,096
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 $1,023.29 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,023.29 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,380.38 | Professional | None | $812.83 | $912.01 | $1,380.38 |
BCBS Texas Setting Facility Modifier None Typical Low $3,090.30 Median $6,309.57 Typical High $15,488.17 | Facility | None | $3,090.30 | $6,309.57 | $15,488.17 |
BCBS Texas Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,548.82 | Professional | None | $891.25 | $1,122.02 | $1,548.82 |
Christus Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $6,025.60 | Facility | None | $870.96 | $4,265.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,548.82 | Professional | None | $891.25 | $1,096.48 | $1,548.82 |
Health Smart Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,762.47 | Professional | None | $7,079.46 | $7,079.46 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,511.89 Typical High $6,760.83 | Facility | None | $870.96 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,380.38 | Professional | None | $812.83 | $912.01 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $165.96 Typical High $812.83 | Professional | None | $32.36 | $165.96 | $812.83 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $7,244.36 | Facility | None | $870.96 | $4,265.80 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,548.82 | Professional | None | $891.25 | $1,096.48 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,513.56 | Professional | None | $758.58 | $977.24 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $407.38 Median $446.68 Typical High $512.86 | Professional | 52 · Reduced service | $407.38 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $676.08 Typical High $776.25 | Professional | 54 · Surgery only | $602.56 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $134.90 Typical High $154.88 | Professional | 55 · Aftercare only | $120.23 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | 56 · Pre-op care only | $81.28 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $630.96 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $562.34 | $630.96 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $446.68 Typical High $512.86 | Professional | 52 · Reduced service | $407.38 | $446.68 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $177.83 | $204.17 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $676.08 Typical High $758.58 | Professional | 54 · Surgery only | $602.56 | $676.08 | $758.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $134.90 Typical High $151.36 | Professional | 55 · Aftercare only | $120.23 | $134.90 | $151.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | 56 · Pre-op care only | $81.28 | $89.13 | $102.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $630.96 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $562.34 | $630.96 | $707.95 |
Where Texas sits
The same service costs 7.9 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
$501
AK $3,981TX $501
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.