How much rates vary
Facilitymedian $1,950 · 10th to 90th $501 to $10,471Professionalmedian $759 · 10th to 90th $17 to $1,514
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 $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,288.25 | $1,584.89 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,348.96 | $2,290.87 |
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 $1,122.02 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,479.11 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | None | $11,748.98 | $11,748.98 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,000.00 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,288.25 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $169.82 Typical High $1,122.02 | Professional | None | $15.49 | $169.82 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,621.81 Typical High $251,188.64 | Facility | None | $812.83 | $1,621.81 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,479.11 | $2,041.74 |
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 $954.99 Median $1,318.26 Typical High $2,041.74 | Professional | None | $954.99 | $1,318.26 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $257.04 Typical High $288.40 | Professional | 53 · Discontinued | $229.09 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $645.65 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $257.04 Typical High $288.40 | Professional | 53 · Discontinued | $229.09 | $257.04 | $288.40 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,071.52 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,000.00 |
Where Texas sits
The same service costs 5.5 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
$851
AK $4,677TX $851
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.