How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,413 to $7,586Professionalmedian $170 · 10th to 90th $23 to $692
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 $10,232.93 | Facility | None | $1,096.48 | $3,715.35 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Professional | None | $537.03 | $602.56 | $912.01 |
BCBS Texas Setting Facility Modifier None Typical Low $1,412.54 Median $2,951.21 Typical High $7,244.36 | Facility | None | $1,412.54 | $2,951.21 | $7,244.36 |
BCBS Texas Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,000.00 | Professional | None | $588.84 | $724.44 | $1,000.00 |
Christus Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,089.30 Typical High $2,818.38 | Facility | None | $691.83 | $2,089.30 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,000.00 | Professional | None | $588.84 | $724.44 | $1,000.00 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $3,090.30 Typical High $7,079.46 | Facility | None | $645.65 | $3,090.30 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Professional | None | $537.03 | $602.56 | $912.01 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $114.82 Typical High $549.54 | Professional | None | $21.88 | $114.82 | $549.54 |
Oscar Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $2,290.87 | Professional | None | $2,137.96 | $2,187.76 | $2,290.87 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $6,165.95 | Facility | None | $660.69 | $2,187.76 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,000.00 | Professional | None | $588.84 | $724.44 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,677.35 Typical High $10,000.00 | Facility | None | $1,698.24 | $4,677.35 | $10,000.00 |
United Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,000.00 | Professional | None | $501.19 | $645.65 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
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 $269.15 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $436.52 Typical High $512.86 | Professional | 54 · Surgery only | $398.11 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $79.43 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $53.70 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $407.38 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $371.54 | $407.38 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $295.12 | $338.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $117.49 | $134.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $436.52 Typical High $501.19 | Professional | 54 · Surgery only | $398.11 | $436.52 | $501.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $87.10 Typical High $100.00 | Professional | 55 · Aftercare only | $79.43 | $87.10 | $100.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $53.70 | $58.88 | $67.61 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $407.38 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $371.54 | $407.38 | $467.74 |
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
$355
AK $2,630TX $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.