How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,738 to $13,183Professionalmedian $794 · 10th to 90th $83 to $1,349
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 $1,202.26 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,202.26 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $3,715.35 | Professional | None | $1,148.15 | $1,202.26 | $3,715.35 |
BCBS Texas Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $17,378.01 | Facility | None | $4,365.16 | $8,317.64 | $17,378.01 |
BCBS Texas Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,584.89 | Professional | None | $933.25 | $1,148.15 | $1,584.89 |
Christus Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $3,715.35 Typical High $5,248.07 | Facility | None | $1,288.25 | $3,715.35 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,348.96 | $1,737.80 |
Health Smart Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $9,120.11 | Professional | None | $8,912.51 | $8,912.51 | $9,120.11 |
Moda Health Setting Facility Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $8,128.31 | Facility | None | $1,023.29 | $2,187.76 | $8,128.31 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,202.26 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $1,071.52 | Professional | None | $79.43 | $186.21 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $3,890.45 Typical High $9,772.37 | Facility | None | $1,230.27 | $3,890.45 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,348.96 | $1,778.28 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,698.24 | Professional | None | $933.25 | $1,258.93 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $562.34 Median $602.56 Typical High $645.65 | Professional | 52 · Reduced service | $562.34 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $229.09 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $851.14 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $177.83 Typical High $194.98 | Professional | 55 · Aftercare only | $169.82 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $120.23 Typical High $128.82 | Professional | 56 · Pre-op care only | $114.82 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $831.76 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $794.33 | $831.76 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $602.56 Typical High $645.65 | Professional | 52 · Reduced service | $562.34 | $602.56 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $229.09 | $239.88 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $851.14 | $891.25 | $977.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $177.83 Typical High $194.98 | Professional | 55 · Aftercare only | $169.82 | $177.83 | $194.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $120.23 Typical High $128.82 | Professional | 56 · Pre-op care only | $114.82 | $120.23 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $831.76 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $794.33 | $831.76 | $912.01 |
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
$871
AK $4,786TX $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.