How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,042 to $11,482Professionalmedian $676 · 10th to 90th $60 to $1,175
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 $1,096.48 Median $3,801.89 Typical High $9,120.11 | Facility | None | $1,096.48 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,096.48 | $1,513.56 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $12,589.25 | Facility | None | $2,398.83 | $4,897.79 | $12,589.25 |
BCBS Texas Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,187.76 | Professional | None | $977.24 | $1,230.27 | $2,187.76 |
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 $954.99 Median $3,715.35 Typical High $4,897.79 | Facility | None | $954.99 | $3,715.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,659.59 | Professional | None | $870.96 | $1,202.26 | $1,659.59 |
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 $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $2,570.40 Typical High $7,413.10 | Facility | None | $954.99 | $2,570.40 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,096.48 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $177.83 Typical High $954.99 | Professional | None | $56.23 | $177.83 | $954.99 |
Oscar Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,096.48 | $1,096.48 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,621.81 | Professional | None | $870.96 | $1,202.26 | $1,621.81 |
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 $851.14 Median $1,096.48 Typical High $1,584.89 | Professional | None | $851.14 | $1,096.48 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $512.86 Median $549.54 Typical High $645.65 | Professional | 52 · Reduced service | $512.86 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | 53 · Discontinued | $208.93 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $128.82 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $549.54 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $549.54 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $218.78 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $218.78 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $891.25 | Professional | 54 · Surgery only | $776.25 | $831.76 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $177.83 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $831.76 |
Where Texas sits
The same service costs 6.2 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
$708
AK $4,365TX $708
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.