How much rates vary
Facilitymedian $1,995 · 10th to 90th $871 to $6,761Professionalmedian $148 · 10th to 90th $22 to $794
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 $3,890.45 Typical High $10,715.19 | Facility | None | $1,202.26 | $3,890.45 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $831.76 | Professional | None | $524.81 | $588.84 | $831.76 |
BCBS Texas Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $4,073.80 | Facility | None | $851.14 | $1,698.24 | $4,073.80 |
BCBS Texas Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $977.24 | Professional | None | $575.44 | $741.31 | $977.24 |
Christus Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,148.15 Typical High $3,311.31 | Facility | None | $812.83 | $1,148.15 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $954.99 | Professional | None | $575.44 | $707.95 | $954.99 |
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 $4,570.88 Median $4,570.88 Typical High $5,128.61 | Professional | None | $4,570.88 | $4,570.88 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $3,467.37 Typical High $7,943.28 | Facility | None | $645.65 | $3,467.37 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $794.33 | Professional | None | $524.81 | $588.84 | $794.33 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $104.71 Typical High $562.34 | Professional | None | $19.05 | $104.71 | $562.34 |
Oscar Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,137.96 | $2,290.87 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $1,288.25 Typical High $6,760.83 | Facility | None | $776.25 | $1,288.25 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $954.99 | Professional | None | $575.44 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $954.99 | Professional | None | $478.63 | $616.60 | $954.99 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
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 $263.03 Median $288.40 Typical High $331.13 | Professional | 52 · Reduced service | $263.03 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $436.52 Typical High $501.19 | Professional | 54 · Surgery only | $389.05 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $87.10 Typical High $100.00 | Professional | 55 · Aftercare only | $77.62 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $52.48 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $467.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | 52 · Reduced service | $263.03 | $288.40 | $331.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $114.82 | $131.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $436.52 Typical High $489.78 | Professional | 54 · Surgery only | $389.05 | $436.52 | $489.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $87.10 Typical High $97.72 | Professional | 55 · Aftercare only | $77.62 | $87.10 | $97.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $52.48 | $57.54 | $66.07 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $457.09 |
Where Texas sits
The same service costs 7.2 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
$355
AK $2,570UT $355
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.