How much rates vary
Facilitymedian $1,950 · 10th to 90th $501 to $10,471Professionalmedian $813 · 10th to 90th $83 to $1,413
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 $1,174.90 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,202.26 | $1,621.81 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,174.90 | $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 $1,258.93 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,412.54 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,000.00 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,202.26 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $1,096.48 | Professional | None | $79.43 | $190.55 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,621.81 Typical High $251,188.64 | Facility | None | $812.83 | $1,621.81 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,412.54 | $2,137.96 |
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 $954.99 Median $1,318.26 Typical High $2,041.74 | Professional | None | $954.99 | $1,318.26 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $588.84 Median $602.56 Typical High $707.95 | Professional | 52 · Reduced service | $588.84 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $239.88 Typical High $281.84 | Professional | 53 · Discontinued | $234.42 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $181.97 Typical High $213.80 | Professional | 55 · Aftercare only | $177.83 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $120.23 Typical High $141.25 | Professional | 56 · Pre-op care only | $117.49 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $851.14 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $851.14 | $1,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $602.56 Typical High $707.95 | Professional | 52 · Reduced service | $588.84 | $602.56 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $239.88 Typical High $281.84 | Professional | 53 · Discontinued | $234.42 | $239.88 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $912.01 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $181.97 Typical High $213.80 | Professional | 55 · Aftercare only | $177.83 | $181.97 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $120.23 Typical High $141.25 | Professional | 56 · Pre-op care only | $117.49 | $120.23 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $851.14 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $851.14 | $1,000.00 |
Where Texas sits
The same service costs 5.9 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
$832
AK $4,898TX $832
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.