How much rates vary
Facilitymedian $5,370 · 10th to 90th $2,512 to $13,183Professionalmedian $324 · 10th to 90th $49 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 $1,096.48 Median $3,715.35 Typical High $10,471.29 | Facility | None | $1,096.48 | $3,715.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,348.96 | Professional | None | $870.96 | $977.24 | $1,348.96 |
BCBS Texas Setting Facility Modifier None Typical Low $3,090.30 Median $6,025.60 Typical High $15,848.93 | Facility | None | $3,090.30 | $6,025.60 | $15,848.93 |
BCBS Texas Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,698.24 | Professional | None | $977.24 | $1,230.27 | $1,698.24 |
Christus Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,168.69 Typical High $6,025.60 | Facility | None | $758.58 | $4,168.69 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,659.59 | Professional | None | $977.24 | $1,202.26 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $8,511.38 | Professional | None | $7,762.47 | $7,762.47 | $8,511.38 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $3,090.30 Typical High $7,079.46 | Facility | None | $933.25 | $3,090.30 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,412.54 | Professional | None | $870.96 | $977.24 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $199.53 Typical High $870.96 | Professional | None | $40.74 | $199.53 | $870.96 |
Oscar Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,548.13 | $3,801.89 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $4,168.69 Typical High $6,025.60 | Facility | None | $812.83 | $4,168.69 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,621.81 | Professional | None | $954.99 | $1,202.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,456.54 | $15,135.61 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,621.81 | Professional | None | $812.83 | $1,071.52 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
8 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 54 · Surgery only Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | 56 · Pre-op care only | $87.10 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $776.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $724.44 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $97.72 Typical High $109.65 | Professional | 56 · Pre-op care only | $87.10 | $97.72 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $776.25 |
Where Texas sits
The same service costs 7.6 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
$562
AK $4,266TX $562
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.