How much rates vary
Facilitymedian $2,570 · 10th to 90th $933 to $9,772Professionalmedian $309 · 10th to 90th $47 to $1,413
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 $1,148.15 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,148.15 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,174.90 | $1,621.81 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Texas Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $6,760.83 | Facility | None | $912.01 | $1,698.24 | $6,760.83 |
BCBS Texas Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,479.11 | $2,137.96 |
Christus Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,495.41 Typical High $7,762.47 | Facility | None | $794.33 | $5,495.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,412.54 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $10,000.00 | Professional | None | $9,120.11 | $9,120.11 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $2,511.89 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,174.90 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $218.78 Typical High $1,047.13 | Professional | None | $42.66 | $218.78 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $5,370.32 Typical High $7,762.47 | Facility | None | $933.25 | $5,370.32 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,412.54 | $2,041.74 |
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 $977.24 Median $1,288.25 Typical High $1,949.84 | Professional | None | $977.24 | $1,288.25 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $524.81 Median $575.44 Typical High $676.08 | Professional | 52 · Reduced service | $524.81 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $234.42 Typical High $269.15 | Professional | 53 · Discontinued | $208.93 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $870.96 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $870.96 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $173.78 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $134.90 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $575.44 Typical High $660.69 | Professional | 52 · Reduced service | $524.81 | $575.44 | $660.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $234.42 Typical High $263.03 | Professional | 53 · Discontinued | $208.93 | $234.42 | $263.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $870.96 Typical High $977.24 | Professional | 54 · Surgery only | $794.33 | $870.96 | $977.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $173.78 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $173.78 | $199.53 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $131.83 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $131.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $912.01 |
Where Texas sits
The same service costs 6.0 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.
Physician feeFacility fee
AK $17,151TX $2,879
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.