How much rates vary
Facilitymedian $2,291 · 10th to 90th $490 to $10,471Professionalmedian $2,188 · 10th to 90th $47 to $12,303
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 $3,388.44 Median $3,715.35 Typical High $4,365.16 | Professional | None | $3,388.44 | $3,715.35 | $4,365.16 |
BCBS Texas Setting Professional Modifier None Typical Low $3,090.30 Median $3,981.07 Typical High $6,760.83 | Professional | None | $3,090.30 | $3,981.07 | $6,760.83 |
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 $3,235.94 Median $4,365.16 Typical High $6,025.60 | Professional | None | $3,235.94 | $4,365.16 | $6,025.60 |
Lucent Health Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $28,183.83 | Professional | None | $23,988.33 | $23,988.33 | $28,183.83 |
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 $3,388.44 Median $3,715.35 Typical High $4,365.16 | Professional | None | $3,388.44 | $3,715.35 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $467.74 Typical High $3,090.30 | Professional | None | $41.69 | $467.74 | $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 $3,235.94 Median $4,365.16 Typical High $6,025.60 | Professional | None | $3,235.94 | $4,365.16 | $6,025.60 |
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 $2,884.03 Median $3,981.07 Typical High $6,025.60 | Professional | None | $2,884.03 | $3,981.07 | $6,025.60 |
Wellpoint Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
8 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 $1,698.24 Median $1,862.09 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,698.24 | $1,862.09 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $741.31 Typical High $851.14 | Professional | 53 · Discontinued | $676.08 | $741.31 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,818.38 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,511.89 | $2,818.38 | $3,235.94 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,630.27 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,630.27 | $3,019.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,862.09 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,698.24 | $1,862.09 | $2,089.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $741.31 Typical High $851.14 | Professional | 53 · Discontinued | $676.08 | $741.31 | $851.14 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,818.38 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,511.89 | $2,818.38 | $3,162.28 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,630.27 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,630.27 | $2,951.21 |
Where Texas sits
The same service costs 7.6 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 $13,804AR $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.