How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,122 to $6,607Professionalmedian $178 · 10th to 90th $28 to $501
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 $1,000.00 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,000.00 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $346.74 | Professional | None | $234.42 | $251.19 | $346.74 |
BCBS Texas Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $6,760.83 | Facility | None | $1,230.27 | $2,630.27 | $6,760.83 |
BCBS Texas Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $512.86 | Professional | None | $204.17 | $281.84 | $512.86 |
Christus Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,905.46 Typical High $3,311.31 | Facility | None | $870.96 | $1,905.46 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $380.19 | Professional | None | $213.80 | $275.42 | $380.19 |
Health Smart Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Professional | None | $1,819.70 | $1,819.70 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $3,019.95 Typical High $7,943.28 | Facility | None | $257.04 | $3,019.95 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $346.74 | Professional | None | $234.42 | $251.19 | $346.74 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $147.91 Typical High $208.93 | Professional | None | $26.92 | $147.91 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | None | $302.00 | $302.00 | $323.59 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $2,041.74 Typical High $6,760.83 | Facility | None | $630.96 | $2,041.74 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $380.19 | Professional | None | $213.80 | $275.42 | $380.19 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | None | $186.21 | $251.19 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $117.49 Median $125.89 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $186.21 Typical High $218.78 | Professional | 54 · Surgery only | $177.83 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $43.65 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.12 Typical High $29.51 | Professional | 56 · Pre-op care only | $23.44 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $173.78 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $165.96 | $173.78 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $125.89 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $50.12 | $53.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $186.21 Typical High $199.53 | Professional | 54 · Surgery only | $177.83 | $186.21 | $199.53 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $40.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.44 | $25.12 | $26.92 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $173.78 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $165.96 | $173.78 | $186.21 |
Where Texas sits
The same service costs 6.0 times more in Alaska than in Utah. 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· 50th of 51
$182
AK $1,000UT $166
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.