How much rates vary
Facilitymedian $1,995 · 10th to 90th $501 to $10,471Professionalmedian $891 · 10th to 90th $23 to $1,862
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 $1,412.54 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,412.54 | $1,584.89 | $1,949.84 |
BCBS Texas Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,659.59 | $2,818.38 |
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 $1,380.38 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,819.70 | $2,511.89 |
Lucent Health Setting Professional Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | None | $18,620.87 | $18,620.87 | $18,620.87 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,344.23 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,412.54 | $1,584.89 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $204.17 Typical High $1,380.38 | Professional | None | $20.42 | $204.17 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,995.26 Typical High $251,188.64 | Facility | None | $812.83 | $1,995.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,819.70 | $2,511.89 |
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 $1,148.15 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,621.81 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $707.95 Median $794.33 Typical High $912.01 | Professional | 52 · Reduced service | $707.95 | $794.33 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $316.23 Typical High $363.08 | Professional | 53 · Discontinued | $288.40 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,174.90 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,071.52 | $1,174.90 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $234.42 Typical High $269.15 | Professional | 55 · Aftercare only | $213.80 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $158.49 Typical High $181.97 | Professional | 56 · Pre-op care only | $141.25 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,096.48 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,096.48 | $1,258.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $794.33 Typical High $891.25 | Professional | 52 · Reduced service | $707.95 | $794.33 | $891.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $316.23 Typical High $354.81 | Professional | 53 · Discontinued | $288.40 | $316.23 | $354.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,174.90 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,071.52 | $1,174.90 | $1,318.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $234.42 Typical High $263.03 | Professional | 55 · Aftercare only | $213.80 | $234.42 | $263.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | 56 · Pre-op care only | $141.25 | $158.49 | $177.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,096.48 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,096.48 | $1,230.27 |
Where Texas sits
The same service costs 5.9 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
$1,000
AK $5,888TX $1,000
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.