How much rates vary
Facilitymedian $2,188 · 10th to 90th $490 to $10,471Professionalmedian $355 · 10th to 90th $33 to $2,512
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 $2,187.76 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,344.23 | $2,951.21 |
BCBS Texas Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,630.27 | $3,630.78 |
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 $1,905.46 Median $2,754.23 Typical High $3,467.37 | Professional | None | $1,905.46 | $2,754.23 | $3,467.37 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $18,620.87 | Professional | None | $16,218.10 | $16,218.10 | $18,620.87 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,884.03 Typical High $6,918.31 | Facility | None | $977.24 | $2,884.03 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,344.23 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $295.12 Typical High $1,995.26 | Professional | None | $31.62 | $295.12 | $1,995.26 |
Oscar Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Professional | None | $1,318.26 | $1,318.26 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $2,290.87 Typical High $251,188.64 | Facility | None | $812.83 | $2,290.87 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,754.23 | $3,388.44 |
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 $1,819.70 Median $2,344.23 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,344.23 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $1,096.48 Median $1,174.90 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,096.48 | $1,174.90 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $467.74 Typical High $549.54 | Professional | 53 · Discontinued | $436.52 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,778.28 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,621.81 | $1,778.28 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $354.81 Typical High $407.38 | Professional | 55 · Aftercare only | $323.59 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $234.42 Typical High $269.15 | Professional | 56 · Pre-op care only | $218.78 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,659.59 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,659.59 | $1,905.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,174.90 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,096.48 | $1,174.90 | $1,258.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $467.74 Typical High $501.19 | Professional | 53 · Discontinued | $436.52 | $467.74 | $501.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,778.28 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,621.81 | $1,778.28 | $1,862.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | 55 · Aftercare only | $323.59 | $354.81 | $371.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $234.42 Typical High $251.19 | Professional | 56 · Pre-op care only | $218.78 | $234.42 | $251.19 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,659.59 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,659.59 | $1,737.80 |
Where Texas sits
The same service costs 22.4 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
$355
AK $7,943TX $355
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.