How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,862 to $16,596Professionalmedian $214 · 10th to 90th $35 to $955
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 $1,000.00 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,000.00 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,122.02 | Professional | None | $741.31 | $831.76 | $1,122.02 |
BCBS Texas Setting Facility Modifier None Typical Low $5,888.44 Median $10,471.29 Typical High $22,908.68 | Facility | None | $5,888.44 | $10,471.29 | $22,908.68 |
BCBS Texas Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,412.54 | Professional | None | $831.76 | $1,047.13 | $1,412.54 |
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 $1,819.70 Median $5,888.44 Typical High $7,762.47 | Facility | None | $1,819.70 | $5,888.44 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,445.44 | Professional | None | $831.76 | $1,023.29 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | None | $7,585.78 | $7,585.78 | $7,585.78 |
Moda Health Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $6,918.31 | Facility | None | $831.76 | $2,454.71 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,122.02 | Professional | None | $741.31 | $831.76 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $165.96 Typical High $758.58 | Professional | None | $32.36 | $165.96 | $758.58 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $6,165.95 Typical High $11,748.98 | Facility | None | $1,258.93 | $6,165.95 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,445.44 | Professional | None | $812.83 | $1,023.29 | $1,445.44 |
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 $691.83 Median $912.01 Typical High $1,380.38 | Professional | None | $691.83 | $912.01 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $371.54 Median $416.87 Typical High $478.63 | Professional | 52 · Reduced service | $371.54 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $165.96 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $707.95 | Professional | 54 · Surgery only | $562.34 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $83.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $575.44 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $524.81 | $575.44 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $416.87 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $416.87 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | 53 · Discontinued | $147.91 | $165.96 | $186.21 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $707.95 | Professional | 54 · Surgery only | $562.34 | $616.60 | $707.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $83.18 Typical High $93.33 | Professional | 56 · Pre-op care only | $74.13 | $83.18 | $93.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $575.44 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $524.81 | $575.44 | $660.69 |
Where Texas sits
The same service costs 13.8 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
$263
AK $3,631TX $263
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.