How much rates vary
Facilitymedian $2,399 · 10th to 90th $501 to $10,471Professionalmedian $1,905 · 10th to 90th $36 to $21,380
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 $2,691.53 Median $2,951.21 Typical High $3,890.45 | Professional | None | $2,691.53 | $2,951.21 | $3,890.45 |
BCBS Texas Setting Facility Modifier None Typical Low $2,238.72 Median $7,585.78 Typical High $31,622.78 | Facility | None | $2,238.72 | $7,585.78 | $31,622.78 |
BCBS Texas Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,454.71 | $3,162.28 | $4,897.79 |
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 $2,290.87 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,290.87 | $3,388.44 | $4,677.35 |
Lucent Health Setting Professional Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $22,387.21 | Professional | None | $21,379.62 | $21,379.62 | $22,387.21 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,235.94 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,235.94 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,691.53 | $3,019.95 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $371.54 Typical High $2,511.89 | Professional | None | $31.62 | $371.54 | $2,511.89 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $2,511.89 Typical High $251,188.64 | Facility | None | $812.83 | $2,511.89 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,454.71 | $3,388.44 | $4,677.35 |
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 $2,137.96 Median $3,019.95 Typical High $4,570.88 | Professional | None | $2,137.96 | $3,019.95 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $1,318.26 Median $1,479.11 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,318.26 | $1,479.11 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $588.84 Typical High $676.08 | Professional | 53 · Discontinued | $537.03 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,238.72 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,995.26 | $2,238.72 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $446.68 Typical High $512.86 | Professional | 55 · Aftercare only | $398.11 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $295.12 Typical High $338.84 | Professional | 56 · Pre-op care only | $269.15 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,089.30 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,089.30 | $2,344.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,479.11 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,318.26 | $1,479.11 | $1,659.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $588.84 Typical High $660.69 | Professional | 53 · Discontinued | $537.03 | $588.84 | $660.69 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,238.72 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,995.26 | $2,238.72 | $2,511.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | 55 · Aftercare only | $398.11 | $446.68 | $501.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $295.12 Typical High $331.13 | Professional | 56 · Pre-op care only | $269.15 | $295.12 | $331.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,089.30 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,089.30 | $2,344.23 |
Where Texas sits
The same service costs 6.9 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $22,987WA $3,314
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.