How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,148 to $6,918Professionalmedian $389 · 10th to 90th $56 to $813
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 $977.24 Median $3,311.31 Typical High $8,709.64 | Facility | None | $977.24 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $676.08 | Professional | None | $478.63 | $489.78 | $676.08 |
BCBS Texas Setting Facility Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $7,762.47 | Facility | None | $1,288.25 | $2,884.03 | $7,762.47 |
BCBS Texas Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $831.76 | Professional | None | $478.63 | $616.60 | $831.76 |
Christus Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,041.74 Typical High $2,691.53 | Facility | None | $691.83 | $2,041.74 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $831.76 | Professional | None | $537.03 | $630.96 | $831.76 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,570.88 | Professional | None | $3,715.35 | $3,715.35 | $4,570.88 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $2,290.87 Typical High $6,025.60 | Facility | None | $512.86 | $2,290.87 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $676.08 | Professional | None | $478.63 | $489.78 | $676.08 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $512.86 | Professional | None | $52.48 | $97.72 | $512.86 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $2,089.30 Typical High $6,165.95 | Facility | None | $630.96 | $2,089.30 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $851.14 | Professional | None | $524.81 | $645.65 | $851.14 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $812.83 | Professional | None | $398.11 | $537.03 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
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 $239.88 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $239.88 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $95.50 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $363.08 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 55 · Aftercare only | $72.44 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $47.86 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $338.84 | $354.81 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $239.88 | $251.19 | $275.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $95.50 | $100.00 | $109.65 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $363.08 | $380.19 | $416.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 55 · Aftercare only | $72.44 | $75.86 | $83.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $47.86 | $50.12 | $54.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $338.84 | $354.81 | $389.05 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 50th of 51
$447
AK $2,138UT $398
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.