How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,995 to $10,471Professionalmedian $447 · 10th to 90th $60 to $776
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 $1,071.52 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,071.52 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,000.00 | Professional | None | $676.08 | $724.44 | $1,000.00 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $11,481.54 | Facility | None | $2,398.83 | $4,897.79 | $11,481.54 |
BCBS Texas Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $2,511.89 | Professional | None | $645.65 | $831.76 | $2,511.89 |
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 $575.44 Median $776.25 Typical High $1,071.52 | Professional | None | $575.44 | $776.25 | $1,071.52 |
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 $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,454.71 Typical High $9,120.11 | Facility | None | $707.95 | $2,454.71 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $912.01 | Professional | None | $676.08 | $724.44 | $912.01 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $120.23 Typical High $630.96 | Professional | None | $54.95 | $120.23 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | None | $776.25 | $776.25 | $812.83 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $3,890.45 Typical High $9,772.37 | Facility | None | $1,047.13 | $3,890.45 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,071.52 | Professional | None | $575.44 | $776.25 | $1,071.52 |
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 $562.34 Median $724.44 Typical High $1,047.13 | Professional | None | $562.34 | $724.44 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $338.84 Median $363.08 Typical High $426.58 | Professional | 52 · Reduced service | $338.84 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $144.54 Typical High $169.82 | Professional | 53 · Discontinued | $134.90 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $501.19 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $72.44 Typical High $85.11 | Professional | 56 · Pre-op care only | $67.61 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $467.74 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $363.08 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $144.54 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $144.54 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $537.03 Typical High $575.44 | Professional | 54 · Surgery only | $501.19 | $537.03 | $575.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $114.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $67.61 | $72.44 | $77.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $501.19 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $467.74 | $501.19 | $537.03 |
Where Texas sits
The same service costs 6.3 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
$457
AK $2,884TX $457
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.