How much rates vary
Facilitymedian $1,820 · 10th to 90th $501 to $10,471Professionalmedian $195 · 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 $1,047.13 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,047.13 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,071.52 | $1,412.54 |
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 $1,258.93 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,258.93 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $8,912.51 | Professional | None | $7,585.78 | $7,585.78 | $8,912.51 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $6,918.31 | Facility | None | $977.24 | $1,862.09 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,071.52 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $147.91 Typical High $977.24 | Professional | None | $15.14 | $147.91 | $977.24 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $251,188.64 | Facility | None | $812.83 | $1,513.56 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,258.93 | $1,778.28 |
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 $851.14 Median $1,148.15 Typical High $1,778.28 | Professional | None | $851.14 | $1,148.15 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $524.81 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $251.19 | Professional | 53 · Discontinued | $208.93 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $794.33 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $125.89 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $870.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $524.81 | $524.81 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $251.19 | Professional | 53 · Discontinued | $208.93 | $213.80 | $251.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $794.33 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $794.33 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $158.49 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $125.89 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $125.89 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $870.96 |
Where Texas sits
The same service costs 6.6 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
$661
AK $4,365TX $661
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.