How much rates vary
Facilitymedian $380 · 10th to 90th $195 to $3,467Professionalmedian $174 · 10th to 90th $26 to $331
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 $676.08 Median $2,570.40 Typical High $6,918.31 | Facility | None | $676.08 | $2,570.40 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $346.74 | Professional | None | $162.18 | $251.19 | $346.74 |
BCBS Texas Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $1,659.59 | Facility | None | $169.82 | $281.84 | $1,659.59 |
BCBS Texas Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $467.74 | Professional | None | $154.88 | $239.88 | $467.74 |
Christus Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $1,862.09 | Facility | None | $181.97 | $263.03 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $363.08 | Professional | None | $165.96 | $239.88 | $363.08 |
Lucent Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,819.70 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $1,096.48 Typical High $4,786.30 | Facility | None | $204.17 | $1,096.48 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $346.74 | Professional | None | $162.18 | $251.19 | $346.74 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $38.02 Typical High $229.09 | Professional | None | $5.75 | $38.02 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | None | $213.80 | $213.80 | $229.09 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $4,466.84 | Facility | None | $199.53 | $354.81 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $363.08 | Professional | None | $165.96 | $234.42 | $363.08 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Facility | None | $616.60 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $338.84 | Professional | None | $141.25 | $218.78 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
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 $79.43 Median $125.89 Typical High $144.54 | Professional | 52 · Reduced service | $79.43 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $32.36 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $120.23 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $23.99 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $25.12 Typical High $28.84 | Professional | 56 · Pre-op care only | $16.22 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $177.83 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $112.20 | $177.83 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $120.23 Typical High $144.54 | Professional | 52 · Reduced service | $79.43 | $120.23 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $48.98 Typical High $57.54 | Professional | 53 · Discontinued | $32.36 | $48.98 | $57.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $181.97 Typical High $218.78 | Professional | 54 · Surgery only | $120.23 | $181.97 | $218.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $36.31 Typical High $43.65 | Professional | 55 · Aftercare only | $23.99 | $36.31 | $43.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $24.55 Typical High $28.84 | Professional | 56 · Pre-op care only | $16.22 | $24.55 | $28.84 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $169.82 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $112.20 | $169.82 | $204.17 |
Where Texas sits
The same service costs 3.6 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
$178
AK $646TX $178
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.