How much rates vary
Facilitymedian $1,622 · 10th to 90th $562 to $9,333Professionalmedian $631 · 10th to 90th $63 to $1,202
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 $870.96 Median $3,890.45 Typical High $10,964.78 | Facility | None | $870.96 | $3,890.45 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,071.52 | Professional | None | $776.25 | $851.14 | $1,071.52 |
BCBS Texas Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $8,709.64 | Facility | None | $831.76 | $1,548.82 | $8,709.64 |
BCBS Texas Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,288.25 | Professional | None | $707.95 | $891.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,258.93 Typical High $2,691.53 | Facility | None | $616.60 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,348.96 | Professional | None | $741.31 | $977.24 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $7,943.28 | Facility | None | $758.58 | $1,905.46 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,174.90 | Professional | None | $776.25 | $870.96 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $144.54 Typical High $776.25 | Professional | None | $56.23 | $144.54 | $776.25 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,348.96 Typical High $251,188.64 | Facility | None | $758.58 | $1,348.96 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,348.96 | Professional | None | $741.31 | $977.24 | $1,348.96 |
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 $616.60 Median $851.14 Typical High $1,318.26 | Professional | None | $616.60 | $851.14 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $389.05 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $630.96 Typical High $724.44 | Professional | 54 · Surgery only | $575.44 | $630.96 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 55 · Aftercare only | $114.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $85.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $588.84 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $676.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $426.58 Typical High $467.74 | Professional | 52 · Reduced service | $389.05 | $426.58 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $169.82 | $190.55 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $630.96 Typical High $707.95 | Professional | 54 · Surgery only | $575.44 | $630.96 | $707.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $114.82 | $128.82 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $85.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $85.11 | $95.50 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $588.84 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $660.69 |
Where Texas sits
The same service costs 4.6 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
$692
AK $3,162TX $692
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.