How much rates vary
Facilitymedian $10,000 · 10th to 90th $2,570 to $23,442Professionalmedian $309 · 10th to 90th $47 to $1,445
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 $10,471.29 | Facility | None | $1,202.26 | $3,715.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,698.24 | Professional | None | $1,071.52 | $1,202.26 | $1,698.24 |
BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $13,182.57 Typical High $30,902.95 | Facility | None | $6,606.93 | $13,182.57 | $30,902.95 |
BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,479.11 | $2,041.74 |
Christus Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $10,715.19 Typical High $19,498.45 | Facility | None | $758.58 | $10,715.19 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,445.44 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,232.93 | Professional | None | $9,332.54 | $9,332.54 | $10,232.93 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,311.31 Typical High $7,079.46 | Facility | None | $977.24 | $3,311.31 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,202.26 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $223.87 Typical High $1,071.52 | Professional | None | $42.66 | $223.87 | $1,071.52 |
Oscar Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,265.80 Typical High $4,570.88 | Professional | None | $4,168.69 | $4,265.80 | $4,570.88 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $10,471.29 Typical High $19,498.45 | Facility | None | $812.83 | $10,471.29 | $19,498.45 |
Providence Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,445.44 | $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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $794.33 Median $870.96 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $158.49 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $954.99 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $870.96 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $870.96 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $177.83 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $177.83 | $199.53 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $134.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $933.25 |
Where Texas sits
The same service costs 8.1 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
$646
AK $5,248TX $646
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.