How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $8,318Professionalmedian $251 · 10th to 90th $41 to $1,259
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 $1,096.48 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,096.48 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,445.44 | Professional | None | $977.24 | $1,096.48 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Texas Setting Facility Modifier None Typical Low $870.96 Median $1,584.89 Typical High $4,786.30 | Facility | None | $870.96 | $1,584.89 | $4,786.30 |
BCBS Texas Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,380.38 | $1,862.09 |
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 $1,096.48 Median $1,348.96 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,348.96 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
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 $977.24 Median $1,122.02 Typical High $1,412.54 | Professional | None | $977.24 | $1,122.02 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $199.53 Typical High $977.24 | Professional | None | $37.15 | $199.53 | $977.24 |
Oscar Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $4,168.69 | Professional | None | $3,801.89 | $3,890.45 | $4,168.69 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $5,248.07 Typical High $7,413.10 | Facility | None | $933.25 | $5,248.07 | $7,413.10 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,348.96 | $1,905.46 |
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 $933.25 Median $1,230.27 Typical High $1,862.09 | Professional | None | $933.25 | $1,230.27 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $489.78 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $489.78 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $251.19 | Professional | 53 · Discontinued | $194.98 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $954.99 | Professional | 54 · Surgery only | $741.31 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $162.18 Typical High $190.55 | Professional | 55 · Aftercare only | $147.91 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $109.65 Typical High $125.89 | Professional | 56 · Pre-op care only | $97.72 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $549.54 Typical High $616.60 | Professional | 52 · Reduced service | $489.78 | $549.54 | $616.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $194.98 | $218.78 | $245.47 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $812.83 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $162.18 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $162.18 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $97.72 | $109.65 | $123.03 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $870.96 |
Where Texas sits
The same service costs 8.7 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
$550
AK $4,786TX $550
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.