How much rates vary
Facilitymedian $9,772 · 10th to 90th $2,188 to $23,442Professionalmedian $347 · 10th to 90th $47 to $1,479
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 $1,202.26 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,202.26 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,202.26 | $1,548.82 |
BCBS Texas Setting Facility Modifier None Typical Low $7,079.46 Median $12,882.50 Typical High $31,622.78 | Facility | None | $7,079.46 | $12,882.50 | $31,622.78 |
BCBS Texas Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,445.44 | $1,995.26 |
Christus Setting Facility Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Facility | None | $10,964.78 | $10,964.78 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $10,000.00 Typical High $14,454.40 | Facility | None | $870.96 | $10,000.00 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,479.11 | $1,995.26 |
Health Smart Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,471.29 | Professional | None | $9,332.54 | $9,332.54 | $10,471.29 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $6,760.83 | Facility | None | $977.24 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,230.27 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $223.87 Typical High $1,096.48 | Professional | None | $42.66 | $223.87 | $1,096.48 |
Oscar Health Setting Professional Modifier None Typical Low $4,265.80 Median $4,365.16 Typical High $4,677.35 | Professional | None | $4,265.80 | $4,365.16 | $4,677.35 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $6,760.83 Typical High $13,182.57 | Facility | None | $933.25 | $6,760.83 | $13,182.57 |
Providence Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $15,848.93 | Facility | None | $2,630.27 | $6,456.54 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,288.25 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $549.54 Median $602.56 Typical High $691.83 | Professional | 52 · Reduced service | $549.54 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $275.42 | Professional | 53 · Discontinued | $218.78 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $891.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $812.83 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $177.83 Typical High $208.93 | Professional | 55 · Aftercare only | $162.18 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $831.76 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $758.58 | $831.76 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | 52 · Reduced service | $549.54 | $602.56 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $275.42 | Professional | 53 · Discontinued | $218.78 | $239.88 | $275.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $812.83 | $891.25 | $1,023.29 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $162.18 | $177.83 | $204.17 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $138.04 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $831.76 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $758.58 | $831.76 | $954.99 |
Where Texas sits
The same service costs 7.4 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
$708
AK $5,248TX $708
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.