How much rates vary
Facilitymedian $2,188 · 10th to 90th $501 to $10,471Professionalmedian $1,413 · 10th to 90th $35 to $2,884
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 $2,187.76 Median $2,454.71 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,454.71 | $2,884.03 |
BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,570.40 | $3,630.78 |
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 $2,089.30 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,089.30 | $2,818.38 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $23,442.29 Median $23,442.29 Typical High $23,442.29 | Professional | None | $23,442.29 | $23,442.29 | $23,442.29 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,951.21 Typical High $6,309.57 | Facility | None | $977.24 | $2,951.21 | $6,309.57 |
Moda Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,454.71 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $309.03 Typical High $2,041.74 | Professional | None | $31.62 | $309.03 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $2,398.83 Typical High $251,188.64 | Facility | None | $851.14 | $2,398.83 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,089.30 | $2,818.38 | $3,981.07 |
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 $1,778.28 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,511.89 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $1,096.48 Median $1,230.27 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,096.48 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | 53 · Discontinued | $436.52 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $416.87 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $245.47 Typical High $281.84 | Professional | 56 · Pre-op care only | $218.78 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $1,949.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,230.27 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,096.48 | $1,230.27 | $1,380.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $489.78 Typical High $549.54 | Professional | 53 · Discontinued | $436.52 | $489.78 | $549.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $2,041.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $416.87 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $416.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | 56 · Pre-op care only | $218.78 | $245.47 | $275.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $1,905.46 |
Where Texas sits
The same service costs 6.2 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
$1,479
AK $9,120TX $1,479
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.