How much rates vary
Facilitymedian $1,905 · 10th to 90th $501 to $10,471Professionalmedian $851 · 10th to 90th $63 to $1,698
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 $1,174.90 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,318.26 | $1,621.81 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,380.38 | $1,905.46 |
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 $1,122.02 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,513.56 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $6,918.31 | Facility | None | $977.24 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,318.26 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $181.97 Typical High $1,122.02 | Professional | None | $18.62 | $181.97 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $251,188.64 | Facility | None | $812.83 | $1,513.56 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,513.56 | $2,137.96 |
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 $977.24 Median $1,348.96 Typical High $2,089.30 | Professional | None | $977.24 | $1,348.96 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $588.84 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $588.84 | $645.65 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $263.03 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $194.98 Typical High $223.87 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $128.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $117.49 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,047.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $588.84 | $645.65 | $741.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $263.03 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $263.03 | $295.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,122.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $194.98 Typical High $223.87 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $223.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $128.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $117.49 | $128.82 | $147.91 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,047.13 |
Where Texas sits
The same service costs 5.2 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
$912
AK $4,786TX $912
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.