How much rates vary
Facilitymedian $2,138 · 10th to 90th $501 to $10,471Professionalmedian $1,445 · 10th to 90th $36 to $14,791
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 $2,089.30 Median $2,290.87 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,290.87 | $2,884.03 |
BCBS Texas Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $3,388.44 | Professional | None | $1,949.84 | $2,454.71 | $3,388.44 |
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 $1,995.26 Median $2,691.53 Typical High $3,801.89 | Professional | None | $1,995.26 | $2,691.53 | $3,801.89 |
Lucent Health Setting Professional Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $16,982.44 | Professional | None | $14,791.08 | $14,791.08 | $16,982.44 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,884.03 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,290.87 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $281.84 Typical High $1,905.46 | Professional | None | $29.51 | $281.84 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $2,290.87 Typical High $251,188.64 | Facility | None | $812.83 | $2,290.87 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,801.89 | Professional | None | $1,995.26 | $2,691.53 | $3,801.89 |
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 $1,737.80 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,737.80 | $2,454.71 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $1,047.13 Median $1,148.15 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,047.13 | $1,148.15 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $467.74 Typical High $524.81 | Professional | 53 · Discontinued | $416.87 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,737.80 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,548.82 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $346.74 Typical High $398.11 | Professional | 55 · Aftercare only | $309.03 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | 56 · Pre-op care only | $208.93 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,621.81 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,621.81 | $1,862.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,148.15 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,047.13 | $1,148.15 | $1,318.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $467.74 Typical High $524.81 | Professional | 53 · Discontinued | $416.87 | $467.74 | $524.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,737.80 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,548.82 | $1,737.80 | $1,995.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $346.74 Typical High $398.11 | Professional | 55 · Aftercare only | $309.03 | $346.74 | $398.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | 56 · Pre-op care only | $208.93 | $229.09 | $263.03 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,621.81 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,621.81 | $1,862.09 |
Where Texas sits
The same service costs 7.3 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 $20,260WA $2,785
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.