How much rates vary
Facilitymedian $562 · 10th to 90th $224 to $3,631Professionalmedian $257 · 10th to 90th $36 to $447
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 $575.44 Median $2,238.72 Typical High $6,918.31 | Facility | None | $575.44 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $407.38 | Professional | None | $213.80 | $338.84 | $407.38 |
BCBS Texas Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $1,258.93 | Facility | None | $190.55 | $281.84 | $1,258.93 |
BCBS Texas Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $489.78 | Professional | None | $213.80 | $323.59 | $489.78 |
Christus Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $2,290.87 | Facility | None | $263.03 | $371.54 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $467.74 | Professional | None | $223.87 | $316.23 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,511.89 | $2,511.89 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $1,000.00 Typical High $4,677.35 | Facility | None | $275.42 | $1,000.00 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $389.05 | Professional | None | $213.80 | $338.84 | $389.05 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $199.53 Typical High $389.05 | Professional | None | $32.36 | $199.53 | $389.05 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $1,995.26 | Facility | None | $263.03 | $363.08 | $1,995.26 |
Providence Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $467.74 | Professional | None | $223.87 | $309.03 | $467.74 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $426.58 | Professional | None | $186.21 | $269.15 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
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 $107.15 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $107.15 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $42.66 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $257.04 Typical High $295.12 | Professional | 54 · Surgery only | $162.18 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $51.29 Typical High $58.88 | Professional | 55 · Aftercare only | $32.36 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $21.38 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $239.88 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $151.36 | $239.88 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $107.15 | $165.96 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $42.66 | $66.07 | $77.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $245.47 Typical High $295.12 | Professional | 54 · Surgery only | $162.18 | $245.47 | $295.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $48.98 Typical High $58.88 | Professional | 55 · Aftercare only | $32.36 | $48.98 | $58.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.11 Typical High $38.90 | Professional | 56 · Pre-op care only | $21.38 | $33.11 | $38.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $229.09 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $151.36 | $229.09 | $275.42 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in New Jersey. 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· 49th of 51
$257
AK $912NJ $251
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.