How much rates vary
Facilitymedian $2,239 · 10th to 90th $490 to $10,471Professionalmedian $2,188 · 10th to 90th $52 to $8,511
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 $3,890.45 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,890.45 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,311.31 | $3,630.78 | $4,265.80 |
BCBS Texas Setting Professional Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $6,165.95 | Professional | None | $3,019.95 | $3,801.89 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $5,754.40 | Professional | None | $3,162.28 | $4,168.69 | $5,754.40 |
Lucent Health Setting Professional Modifier None Typical Low $23,442.29 Median $27,542.29 Typical High $27,542.29 | Professional | None | $23,442.29 | $27,542.29 | $27,542.29 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $6,918.31 | Facility | None | $977.24 | $3,715.35 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $4,786.30 | Professional | None | $3,311.31 | $3,715.35 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $457.09 Typical High $3,090.30 | Professional | None | $44.67 | $457.09 | $3,090.30 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $251,188.64 | Facility | None | $758.58 | $2,691.53 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $5,754.40 | Professional | None | $3,162.28 | $4,168.69 | $5,754.40 |
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 $2,691.53 Median $3,890.45 Typical High $5,888.44 | Professional | None | $2,691.53 | $3,890.45 | $5,888.44 |
Wellpoint Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
10 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 $1,659.59 Median $1,819.70 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,659.59 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | 53 · Discontinued | $660.69 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,754.23 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,454.71 | $2,754.23 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $549.54 Typical High $616.60 | Professional | 55 · Aftercare only | $489.78 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $363.08 Typical High $416.87 | Professional | 56 · Pre-op care only | $331.13 | $363.08 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,819.70 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,659.59 | $1,819.70 | $2,041.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $724.44 Typical High $812.83 | Professional | 53 · Discontinued | $660.69 | $724.44 | $812.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,754.23 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,454.71 | $2,754.23 | $3,090.30 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $549.54 Typical High $616.60 | Professional | 55 · Aftercare only | $489.78 | $549.54 | $616.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $363.08 Typical High $407.38 | Professional | 56 · Pre-op care only | $331.13 | $363.08 | $407.38 |
Where Texas sits
The same service costs 7.4 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
$2,188
AK $13,490AR $1,820
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.