How much rates vary
Facilitymedian $1,905 · 10th to 90th $501 to $10,471Professionalmedian $214 · 10th to 90th $22 to $1,479
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 $1,122.02 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,348.96 | $1,698.24 |
BCBS Texas Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,513.56 | $2,089.30 |
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 $1,096.48 Median $1,548.82 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,548.82 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,964.78 | Professional | None | $9,332.54 | $9,332.54 | $10,964.78 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $6,918.31 | Facility | None | $977.24 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,348.96 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $177.83 Typical High $1,202.26 | Professional | None | $19.95 | $177.83 | $1,202.26 |
Oscar Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,202.26 | Professional | None | $1,174.90 | $1,174.90 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,584.89 Typical High $251,188.64 | Facility | None | $812.83 | $1,584.89 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,584.89 | $1,905.46 |
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 $1,023.29 Median $1,348.96 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,348.96 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $630.96 Median $676.08 Typical High $776.25 | Professional | 52 · Reduced service | $630.96 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $269.15 Typical High $309.03 | Professional | 53 · Discontinued | $251.19 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,023.29 Typical High $1,174.90 | Professional | 54 · Surgery only | $933.25 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | 55 · Aftercare only | $186.21 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $134.90 Typical High $154.88 | Professional | 56 · Pre-op care only | $125.89 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $870.96 | $954.99 | $1,096.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $630.96 | $676.08 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $269.15 Typical High $288.40 | Professional | 53 · Discontinued | $251.19 | $269.15 | $288.40 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,023.29 Typical High $1,071.52 | Professional | 54 · Surgery only | $933.25 | $1,023.29 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $186.21 | $204.17 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $125.89 | $134.90 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $954.99 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $870.96 | $954.99 | $1,000.00 |
Where Texas sits
The same service costs 21.4 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
$214
AK $4,571TX $214
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.