How much rates vary
Facilitymedian $1,862 · 10th to 90th $501 to $10,471Professionalmedian $234 · 10th to 90th $28 to $1,479
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 $9,120.11 | Facility | None | $1,096.48 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,174.90 | $1,513.56 |
BCBS Texas Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,318.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,412.54 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $9,772.37 | Professional | None | $7,943.28 | $7,943.28 | $9,772.37 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,905.46 Typical High $6,918.31 | Facility | None | $977.24 | $1,905.46 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,174.90 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $165.96 Typical High $1,023.29 | Professional | None | $24.55 | $165.96 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $251,188.64 | Facility | None | $758.58 | $1,513.56 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,412.54 | $1,949.84 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,819.70 | Professional | None | $891.25 | $1,202.26 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $537.03 Median $588.84 Typical High $660.69 | Professional | 52 · Reduced service | $537.03 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $234.42 Typical High $263.03 | Professional | 53 · Discontinued | $213.80 | $234.42 | $263.03 |
Aetna 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 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $199.53 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $131.83 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $131.83 |
Aetna 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 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $537.03 | $588.84 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $234.42 Typical High $257.04 | Professional | 53 · Discontinued | $213.80 | $234.42 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $870.96 Typical High $954.99 | Professional | 54 · Surgery only | $794.33 | $870.96 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $891.25 |
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
$676
AK $4,571TX $676
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.