How much rates vary
Facilitymedian $1,820 · 10th to 90th $490 to $10,471Professionalmedian $468 · 10th to 90th $60 to $794
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 $724.44 Median $3,715.35 Typical High $9,120.11 | Facility | None | $724.44 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $870.96 | Professional | None | $645.65 | $691.83 | $870.96 |
BCBS Texas Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,096.48 | Professional | None | $616.60 | $776.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $977.24 | Professional | None | $562.34 | $794.33 | $977.24 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,888.44 | Professional | None | $4,786.30 | $4,786.30 | $5,888.44 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $1,778.28 Typical High $6,025.60 | Facility | None | $645.65 | $1,778.28 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $870.96 | Professional | None | $645.65 | $691.83 | $870.96 |
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 $676.08 Median $676.08 Typical High $707.95 | Professional | None | $676.08 | $676.08 | $707.95 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $251,188.64 | Facility | None | $645.65 | $1,318.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $977.24 | Professional | None | $562.34 | $794.33 | $977.24 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $933.25 | Professional | None | $512.86 | $645.65 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $323.59 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $346.74 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $346.74 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $147.91 | Professional | 53 · Discontinued | $128.82 | $138.04 | $147.91 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $549.54 | Professional | 54 · Surgery only | $478.63 | $524.81 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $69.18 Typical High $74.13 | Professional | 56 · Pre-op care only | $64.57 | $69.18 | $74.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $512.86 |
Where Texas sits
The same service costs 5.4 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
$468
AK $2,512TX $468
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.