How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,380 to $8,913Professionalmedian $126 · 10th to 90th $18 to $617
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 $1,122.02 Median $3,715.35 Typical High $10,471.29 | Facility | None | $1,122.02 | $3,715.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $794.33 | Professional | None | $457.09 | $501.19 | $794.33 |
BCBS Texas Setting Facility Modifier None Typical Low $1,412.54 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,412.54 | $2,570.40 | $6,165.95 |
BCBS Texas Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $851.14 | Professional | None | $501.19 | $645.65 | $851.14 |
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 $501.19 Median $616.60 Typical High $812.83 | Professional | None | $501.19 | $616.60 | $812.83 |
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 $3,981.07 Median $3,981.07 Typical High $4,570.88 | Professional | None | $3,981.07 | $3,981.07 | $4,570.88 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $3,090.30 Typical High $7,079.46 | Facility | None | $549.54 | $3,090.30 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $707.95 | Professional | None | $457.09 | $512.86 | $707.95 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $89.13 Typical High $457.09 | Professional | None | $16.22 | $89.13 | $457.09 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $6,165.95 | Facility | None | $630.96 | $2,187.76 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $812.83 | Professional | None | $501.19 | $616.60 | $812.83 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $14,791.08 | Facility | None | $2,630.27 | $6,165.95 | $14,791.08 |
United Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $831.76 | Professional | None | $416.87 | $537.03 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
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 $229.09 Median $251.19 Typical High $288.40 | Professional | 52 · Reduced service | $229.09 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $100.00 Typical High $114.82 | Professional | 53 · Discontinued | $91.20 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $338.84 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $74.13 Typical High $87.10 | Professional | 55 · Aftercare only | $67.61 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $50.12 Typical High $57.54 | Professional | 56 · Pre-op care only | $45.71 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $346.74 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $316.23 | $346.74 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $251.19 Typical High $288.40 | Professional | 52 · Reduced service | $229.09 | $251.19 | $288.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $100.00 Typical High $114.82 | Professional | 53 · Discontinued | $91.20 | $100.00 | $114.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $371.54 Typical High $426.58 | Professional | 54 · Surgery only | $338.84 | $371.54 | $426.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $74.13 Typical High $87.10 | Professional | 55 · Aftercare only | $67.61 | $74.13 | $87.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $50.12 Typical High $57.54 | Professional | 56 · Pre-op care only | $45.71 | $50.12 | $57.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $346.74 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $316.23 | $346.74 | $398.11 |
Where Texas sits
The same service costs 7.9 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
$282
AK $2,239TX $282
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.