How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,738 to $12,589Professionalmedian $741 · 10th to 90th $112 to $1,585
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 $1,023.29 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,023.29 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $4,265.80 | Professional | None | $851.14 | $977.24 | $4,265.80 |
BCBS Texas Setting Facility Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $16,595.87 | Facility | None | $4,265.80 | $7,943.28 | $16,595.87 |
BCBS Texas Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,479.11 | Professional | None | $812.83 | $1,023.29 | $1,479.11 |
Christus Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,630.78 Typical High $5,128.61 | Facility | None | $758.58 | $3,630.78 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,584.89 | Professional | None | $831.76 | $1,122.02 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $6,918.31 | Facility | None | $851.14 | $2,511.89 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,445.44 | Professional | None | $851.14 | $977.24 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $588.84 Typical High $831.76 | Professional | None | $102.33 | $588.84 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,951.21 | $2,951.21 | $3,235.94 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $3,630.78 Typical High $5,128.61 | Facility | None | $812.83 | $3,630.78 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,584.89 | Professional | None | $831.76 | $1,122.02 | $1,584.89 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,309.57 Typical High $14,791.08 | Facility | None | $2,630.27 | $6,309.57 | $14,791.08 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,548.82 | Professional | None | $707.95 | $1,000.00 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $426.58 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $602.56 | $676.08 | $776.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $478.63 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $478.63 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $213.80 | Professional | 53 · Discontinued | $173.78 | $190.55 | $213.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $724.44 | $812.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $107.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $676.08 | $758.58 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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 $11,491KY $2,434
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.