How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,630 to $13,183Professionalmedian $347 · 10th to 90th $52 to $1,862
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 $1,230.27 Median $3,715.35 Typical High $10,471.29 | Facility | None | $1,230.27 | $3,715.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,584.89 | $2,089.30 |
Ambetter Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS Texas Setting Facility Modifier None Typical Low $3,548.13 Median $6,918.31 Typical High $15,848.93 | Facility | None | $3,548.13 | $6,918.31 | $15,848.93 |
BCBS Texas Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,513.56 | $1,949.84 | $2,691.53 |
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 $4,570.88 Typical High $6,606.93 | Facility | None | $758.58 | $4,570.88 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,862.09 | $2,630.27 |
Lucent Health Setting Professional Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $13,182.57 | Professional | None | $12,589.25 | $12,589.25 | $13,182.57 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,311.31 Typical High $8,709.64 | Facility | None | $977.24 | $3,311.31 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,621.81 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $263.03 Typical High $1,348.96 | Professional | None | $47.86 | $263.03 | $1,348.96 |
Oscar Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,495.41 Typical High $5,888.44 | Professional | None | $5,370.32 | $5,495.41 | $5,888.44 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $4,570.88 Typical High $6,606.93 | Facility | None | $812.83 | $4,570.88 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,513.56 | $1,862.09 | $2,630.27 |
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 $1,318.26 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,318.26 | $1,659.59 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,047.13 Median $1,148.15 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,047.13 | $1,148.15 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | 55 · Aftercare only | $208.93 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $151.36 Typical High $177.83 | Professional | 56 · Pre-op care only | $138.04 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,071.52 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $977.24 | $1,071.52 | $1,230.27 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,047.13 | $1,148.15 | $1,288.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $229.09 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $229.09 | $257.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 56 · Pre-op care only | $138.04 | $151.36 | $173.78 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,071.52 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $977.24 | $1,071.52 | $1,202.26 |
Where Texas sits
The same service costs 7.8 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
$871
AK $6,761TX $871
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.