How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,230 to $9,333Professionalmedian $240 · 10th to 90th $22 to $1,549
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 $9,120.11 | Facility | None | $1,202.26 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,258.93 | $3,019.95 |
BCBS Texas Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,348.96 | $1,819.70 |
Christus Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,467.37 Typical High $4,897.79 | Facility | None | $870.96 | $3,467.37 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,318.26 | $2,187.76 |
Health Smart Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,912.51 | Professional | None | $8,317.64 | $8,317.64 | $8,912.51 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $6,760.83 | Facility | None | $977.24 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,258.93 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $151.36 Typical High $977.24 | Professional | None | $20.42 | $151.36 | $977.24 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $7,244.36 | Facility | None | $933.25 | $3,548.13 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,348.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,949.84 | Professional | None | $933.25 | $1,318.26 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $575.44 Median $630.96 Typical High $707.95 | Professional | 52 · Reduced service | $575.44 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $251.19 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $125.89 Typical High $141.25 | Professional | 56 · Pre-op care only | $114.82 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $1,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $630.96 Typical High $707.95 | Professional | 52 · Reduced service | $575.44 | $630.96 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $251.19 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $251.19 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $186.21 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $125.89 Typical High $141.25 | Professional | 56 · Pre-op care only | $114.82 | $125.89 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $1,000.00 |
Where Texas sits
The same service costs 6.8 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
$708
AK $4,786TX $708
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.