How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $6,607Professionalmedian $417 · 10th to 90th $60 to $708
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 $851.14 Median $2,754.23 Typical High $6,918.31 | Facility | None | $851.14 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $831.76 | Professional | None | $549.54 | $588.84 | $831.76 |
BCBS Texas Setting Facility Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $8,709.64 | Facility | None | $2,187.76 | $4,073.80 | $8,709.64 |
Christus Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,778.28 Typical High $2,344.23 | Facility | None | $602.56 | $1,778.28 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $831.76 | Professional | None | $478.63 | $676.08 | $831.76 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,011.87 | Professional | None | $4,073.80 | $4,073.80 | $5,011.87 |
Moda Health Setting Facility Modifier None Typical Low $575.44 Median $1,905.46 Typical High $5,495.41 | Facility | None | $575.44 | $1,905.46 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $831.76 | Professional | None | $549.54 | $588.84 | $831.76 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $575.44 | Professional | None | $54.95 | $109.65 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $2,041.74 Typical High $2,137.96 | Professional | None | $562.34 | $2,041.74 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $1,819.70 Typical High $4,466.84 | Facility | None | $588.84 | $1,819.70 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $831.76 | Professional | None | $478.63 | $676.08 | $831.76 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,311.31 | $6,606.93 |
United Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $812.83 | Professional | None | $436.52 | $549.54 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
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 $275.42 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $275.42 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $109.65 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $446.68 Typical High $512.86 | Professional | 54 · Surgery only | $407.38 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | 55 · Aftercare only | $81.28 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $54.95 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $416.87 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $380.19 | $416.87 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $295.12 Typical High $309.03 | Professional | 52 · Reduced service | $275.42 | $295.12 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $117.49 | $125.89 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $446.68 Typical High $467.74 | Professional | 54 · Surgery only | $407.38 | $446.68 | $467.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $89.13 Typical High $93.33 | Professional | 55 · Aftercare only | $81.28 | $89.13 | $93.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $58.88 Typical High $63.10 | Professional | 56 · Pre-op care only | $54.95 | $58.88 | $63.10 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $416.87 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $380.19 | $416.87 | $436.52 |
Where Texas sits
The same service costs 5.5 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
$427
AK $2,344TX $427
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.