How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,585 to $14,454Professionalmedian $263 · 10th to 90th $48 to $1,202
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 $1,023.29 Median $3,801.89 Typical High $9,120.11 | Facility | None | $1,023.29 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,174.90 | Professional | None | $912.01 | $1,023.29 | $1,174.90 |
BCBS Texas Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $20,892.96 | Facility | None | $5,495.41 | $9,772.37 | $20,892.96 |
BCBS Texas Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $2,951.21 | Professional | None | $912.01 | $1,288.25 | $2,951.21 |
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 $758.58 Median $5,370.32 Typical High $7,585.78 | Facility | None | $758.58 | $5,370.32 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,621.81 | Professional | None | $933.25 | $1,258.93 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $8,912.51 | Professional | None | $7,943.28 | $7,943.28 | $8,912.51 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,905.46 Typical High $6,918.31 | Facility | None | $977.24 | $1,905.46 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,318.26 | Professional | None | $912.01 | $1,023.29 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $204.17 Typical High $933.25 | Professional | None | $40.74 | $204.17 | $933.25 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $5,248.07 Typical High $7,585.78 | Facility | None | $870.96 | $5,248.07 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,621.81 | Professional | None | $933.25 | $1,258.93 | $1,621.81 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,309.57 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,309.57 | $15,135.61 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,659.59 | Professional | None | $851.14 | $1,047.13 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $457.09 Median $501.19 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $204.17 Typical High $234.42 | Professional | 53 · Discontinued | $181.97 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $691.83 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $91.20 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $707.95 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $501.19 Typical High $575.44 | Professional | 52 · Reduced service | $457.09 | $501.19 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $204.17 Typical High $229.09 | Professional | 53 · Discontinued | $181.97 | $204.17 | $229.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $691.83 | $758.58 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $151.36 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $91.20 | $102.33 | $114.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $707.95 | $812.83 |
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
$324
AK $4,467TX $324
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.