How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,514 to $9,772Professionalmedian $339 · 10th to 90th $52 to $1,738
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 $1,230.27 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,230.27 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,412.54 | $1,862.09 |
Ambetter Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Texas Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,584.89 | $3,019.95 | $8,912.51 |
BCBS Texas Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,412.54 | $1,778.28 | $2,454.71 |
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 $794.33 Median $2,041.74 Typical High $2,754.23 | Facility | None | $794.33 | $2,041.74 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,380.38 | $1,737.80 | $2,238.72 |
Lucent Health Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $12,022.64 | Professional | None | $10,964.78 | $10,964.78 | $12,022.64 |
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 $1,258.93 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,445.44 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $257.04 Typical High $1,258.93 | Professional | None | $47.86 | $257.04 | $1,258.93 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $2,041.74 Typical High $2,754.23 | Facility | None | $933.25 | $2,041.74 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,380.38 | $1,737.80 | $2,238.72 |
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 $977.24 Median $1,445.44 Typical High $2,238.72 | Professional | None | $977.24 | $1,445.44 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $630.96 Median $707.95 Typical High $812.83 | Professional | 52 · Reduced service | $630.96 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,047.13 Typical High $1,230.27 | Professional | 54 · Surgery only | $954.99 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $208.93 Typical High $245.47 | Professional | 55 · Aftercare only | $190.55 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | 56 · Pre-op care only | $125.89 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $977.24 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $891.25 | $977.24 | $1,148.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $707.95 Typical High $794.33 | Professional | 52 · Reduced service | $630.96 | $707.95 | $794.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | 53 · Discontinued | $251.19 | $281.84 | $316.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,047.13 Typical High $1,202.26 | Professional | 54 · Surgery only | $954.99 | $1,047.13 | $1,202.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $208.93 Typical High $239.88 | Professional | 55 · Aftercare only | $190.55 | $208.93 | $239.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $141.25 Typical High $158.49 | Professional | 56 · Pre-op care only | $125.89 | $141.25 | $158.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $977.24 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $891.25 | $977.24 | $1,122.02 |
Where Texas sits
The same service costs 8.5 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
$724
AK $6,166TX $724
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.