How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,514 to $12,882Professionalmedian $676 · 10th to 90th $81 to $1,148
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 $1,023.29 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,023.29 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,348.96 | Professional | None | $954.99 | $1,023.29 | $1,348.96 |
BCBS Texas Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,943.28 | $17,378.01 |
BCBS Texas Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,778.28 | Professional | None | $891.25 | $1,148.15 | $1,778.28 |
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 $977.24 Median $3,715.35 Typical High $4,897.79 | Facility | None | $977.24 | $3,715.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,445.44 | Professional | None | $794.33 | $1,096.48 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $8,317.64 | Professional | None | $7,585.78 | $7,585.78 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $2,511.89 Typical High $6,918.31 | Facility | None | $933.25 | $2,511.89 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,258.93 | Professional | None | $954.99 | $1,023.29 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $169.82 Typical High $954.99 | Professional | None | $75.86 | $169.82 | $954.99 |
Oscar Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | None | $831.76 | $831.76 | $870.96 |
Providence Setting Facility Modifier None Typical Low $954.99 Median $3,801.89 Typical High $7,762.47 | Facility | None | $954.99 | $3,801.89 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,445.44 | Professional | None | $794.33 | $1,096.48 | $1,445.44 |
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 $758.58 Median $977.24 Typical High $1,445.44 | Professional | None | $758.58 | $977.24 | $1,445.44 |
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 $478.63 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $478.63 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $204.17 Typical High $234.42 | Professional | 53 · Discontinued | $190.55 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $95.50 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $707.95 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $707.95 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $512.86 Typical High $549.54 | Professional | 52 · Reduced service | $478.63 | $512.86 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $204.17 Typical High $218.78 | Professional | 53 · Discontinued | $190.55 | $204.17 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $758.58 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $758.58 | $812.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $102.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $95.50 | $102.33 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $707.95 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $660.69 | $707.95 | $758.58 |
Where Texas sits
The same service costs 5.8 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
$692
AK $3,981TX $692
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.