How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,096 to $10,000Professionalmedian $120 · 10th to 90th $17 to $813
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 $1,148.15 Median $4,073.80 Typical High $10,000.00 | Facility | None | $1,148.15 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $1,148.15 | Professional | None | $724.44 | $794.33 | $1,148.15 |
BCBS Texas Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,230.27 | Professional | None | $707.95 | $891.25 | $1,230.27 |
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 $645.65 Median $912.01 Typical High $1,148.15 | Professional | None | $645.65 | $912.01 | $1,148.15 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $7,943.28 | Facility | None | $794.33 | $3,467.37 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $1,000.00 | Professional | None | $724.44 | $794.33 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $107.15 Typical High $676.08 | Professional | None | $15.14 | $107.15 | $676.08 |
Oscar Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $3,801.89 Typical High $7,762.47 | Facility | None | $870.96 | $3,801.89 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,122.02 | Professional | None | $645.65 | $933.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $14,791.08 | Facility | None | $2,630.27 | $6,456.54 | $14,791.08 |
United Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,148.15 | Professional | None | $602.56 | $776.25 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $363.08 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $363.08 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $144.54 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $549.54 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $630.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $389.05 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $158.49 | $165.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $630.96 | Professional | 54 · Surgery only | $549.54 | $588.84 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $83.18 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $83.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $588.84 |
Where Texas sits
The same service costs 25.1 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
$123
AK $3,090TX $123
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.