How much rates vary
Facilitymedian $2,399 · 10th to 90th $501 to $10,471Professionalmedian $2,089 · 10th to 90th $47 to $4,169
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 $3,801.89 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $4,265.80 | Professional | None | $3,090.30 | $3,467.37 | $4,265.80 |
BCBS Texas Setting Facility Modifier None Typical Low $2,630.27 Median $8,912.51 Typical High $37,153.52 | Facility | None | $2,630.27 | $8,912.51 | $37,153.52 |
BCBS Texas Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $5,248.07 | Professional | None | $2,884.03 | $3,630.78 | $5,248.07 |
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 $2,951.21 Median $3,981.07 Typical High $5,495.41 | Professional | None | $2,951.21 | $3,981.07 | $5,495.41 |
Lucent Health Setting Professional Modifier None Typical Low $26,915.35 Median $26,915.35 Typical High $26,915.35 | Professional | None | $26,915.35 | $26,915.35 | $26,915.35 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,630.78 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $4,570.88 | Professional | None | $3,090.30 | $3,548.13 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $436.52 Typical High $2,951.21 | Professional | None | $41.69 | $436.52 | $2,951.21 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $2,691.53 Typical High $251,188.64 | Facility | None | $812.83 | $2,691.53 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $5,495.41 | Professional | None | $2,951.21 | $3,981.07 | $5,495.41 |
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 $2,570.40 Median $3,548.13 Typical High $5,495.41 | Professional | None | $2,570.40 | $3,548.13 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $1,548.82 Median $1,737.80 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,548.82 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $691.83 Typical High $794.33 | Professional | 53 · Discontinued | $630.96 | $691.83 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,570.40 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,344.23 | $2,570.40 | $2,951.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $524.81 Typical High $588.84 | Professional | 55 · Aftercare only | $467.74 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $346.74 Typical High $398.11 | Professional | 56 · Pre-op care only | $309.03 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,398.83 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,398.83 | $2,754.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,737.80 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,548.82 | $1,737.80 | $1,949.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $691.83 Typical High $776.25 | Professional | 53 · Discontinued | $630.96 | $691.83 | $776.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,570.40 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,344.23 | $2,570.40 | $2,951.21 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $524.81 Typical High $588.84 | Professional | 55 · Aftercare only | $467.74 | $524.81 | $588.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $346.74 Typical High $389.05 | Professional | 56 · Pre-op care only | $309.03 | $346.74 | $389.05 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,398.83 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,398.83 | $2,754.23 |
Where Texas sits
The same service costs 6.3 times more in Alaska than in Arkansas. 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· 50th of 51
$2,138
AK $12,589AR $1,995
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.