How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,318 to $6,761Professionalmedian $437 · 10th to 90th $37 to $851
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 $977.24 Median $3,311.31 Typical High $8,709.64 | Facility | None | $977.24 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $954.99 | Professional | None | $616.60 | $691.83 | $954.99 |
BCBS Texas Setting Facility Modifier None Typical Low $1,412.54 Median $2,951.21 Typical High $7,244.36 | Facility | None | $1,412.54 | $2,951.21 | $7,244.36 |
BCBS Texas Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,122.02 | Professional | None | $660.69 | $812.83 | $1,122.02 |
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 $691.83 Median $2,089.30 Typical High $2,754.23 | Facility | None | $691.83 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,174.90 | Professional | None | $660.69 | $812.83 | $1,174.90 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,623.41 | Professional | None | $5,370.32 | $5,370.32 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $1,995.26 Typical High $5,623.41 | Facility | None | $660.69 | $1,995.26 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $933.25 | Professional | None | $616.60 | $691.83 | $933.25 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $141.25 Typical High $630.96 | Professional | None | $31.62 | $141.25 | $630.96 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $2,089.30 Typical High $6,165.95 | Facility | None | $691.83 | $2,089.30 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,174.90 | Professional | None | $660.69 | $812.83 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,071.52 | Professional | None | $575.44 | $724.44 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $302.00 Median $331.13 Typical High $398.11 | Professional | 52 · Reduced service | $302.00 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $131.83 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $66.07 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $467.74 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $467.74 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $302.00 | $331.13 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $131.83 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $131.83 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $100.00 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $66.07 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $66.07 | $77.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $467.74 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $467.74 | $549.54 |
Where Texas sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 50th of 51
$468
AK $2,951UT $447
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.