How much rates vary
Facilitymedian $1,995 · 10th to 90th $501 to $10,471Professionalmedian $832 · 10th to 90th $58 to $1,738
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 $1,202.26 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,348.96 | $1,659.59 |
BCBS Texas Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,412.54 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,548.82 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None | $15,135.61 | $15,135.61 | $15,135.61 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,041.74 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,348.96 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $181.97 Typical High $1,148.15 | Professional | None | $18.20 | $181.97 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,659.59 Typical High $251,188.64 | Facility | None | $812.83 | $1,659.59 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,548.82 | $2,290.87 |
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 $1,000.00 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,412.54 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $602.56 Median $660.69 Typical High $758.58 | Professional | 52 · Reduced service | $602.56 | $660.69 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $269.15 Typical High $302.00 | Professional | 53 · Discontinued | $239.88 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,000.00 Typical High $1,148.15 | Professional | 54 · Surgery only | $891.25 | $1,000.00 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $199.53 Typical High $229.09 | Professional | 55 · Aftercare only | $177.83 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $131.83 Typical High $151.36 | Professional | 56 · Pre-op care only | $120.23 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $933.25 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $831.76 | $933.25 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 52 · Reduced service | $602.56 | $660.69 | $758.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $269.15 Typical High $302.00 | Professional | 53 · Discontinued | $239.88 | $269.15 | $302.00 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,000.00 Typical High $1,122.02 | Professional | 54 · Surgery only | $891.25 | $1,000.00 | $1,122.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | 55 · Aftercare only | $177.83 | $199.53 | $223.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $131.83 Typical High $151.36 | Professional | 56 · Pre-op care only | $120.23 | $131.83 | $151.36 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $933.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $831.76 | $933.25 | $1,047.13 |
Where Texas sits
The same service costs 5.5 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
$891
AK $4,898TX $891
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.