How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,445 to $8,511Professionalmedian $759 · 10th to 90th $93 to $7,762
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 $1,000.00 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,000.00 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,288.25 | Professional | None | $933.25 | $1,047.13 | $1,288.25 |
BCBS Texas Setting Facility Modifier None Typical Low $2,754.23 Median $5,011.87 Typical High $9,772.37 | Facility | None | $2,754.23 | $5,011.87 | $9,772.37 |
BCBS Texas Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,584.89 | Professional | None | $870.96 | $1,096.48 | $1,584.89 |
Christus Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,995.26 Typical High $2,691.53 | Facility | None | $758.58 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,778.28 | Professional | None | $891.25 | $1,202.26 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $1,905.46 Typical High $6,025.60 | Facility | None | $851.14 | $1,905.46 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,318.26 | Professional | None | $933.25 | $1,047.13 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $562.34 Typical High $891.25 | Professional | None | $54.95 | $562.34 | $891.25 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $2,691.53 | Facility | None | $851.14 | $1,995.26 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,778.28 | Professional | None | $891.25 | $1,202.26 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,737.80 | Professional | None | $812.83 | $1,122.02 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
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 $457.09 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $93.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $645.65 | $724.44 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $512.86 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $204.17 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $776.25 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $154.88 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $93.33 | $102.33 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $645.65 | $724.44 | $831.76 |
Where Texas sits
The same service costs 4.6 times more in Wisconsin 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
$871
WI $3,981TX $871
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.