How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,148 to $5,495Professionalmedian $603 · 10th to 90th $17 to $1,380
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 $977.24 Median $2,754.23 Typical High $6,918.31 | Facility | None | $977.24 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $2,570.40 | Professional | None | $977.24 | $1,047.13 | $2,570.40 |
BCBS Texas Setting Facility Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $5,011.87 | Facility | None | $1,479.11 | $2,511.89 | $5,011.87 |
BCBS Texas Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,238.72 | Professional | None | $912.01 | $1,174.90 | $2,238.72 |
Christus Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,398.83 | Facility | None | $758.58 | $1,288.25 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,174.90 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,762.47 | Professional | None | $7,413.10 | $7,413.10 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $5,623.41 | Facility | None | $758.58 | $1,905.46 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,380.38 | Professional | None | $977.24 | $1,000.00 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $134.90 Typical High $891.25 | Professional | None | $15.14 | $134.90 | $891.25 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,454.71 | Facility | None | $758.58 | $1,318.26 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,174.90 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,698.24 | Professional | None | $794.33 | $1,096.48 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $489.78 Median $501.19 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $234.42 | Professional | 53 · Discontinued | $194.98 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $741.31 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $117.49 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $501.19 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $234.42 | Professional | 53 · Discontinued | $194.98 | $199.53 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $741.31 | $758.58 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $117.49 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $831.76 |
Where Texas sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 50th of 51
$724
AK $4,074UT $692
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.