How much rates vary
Facilitymedian $1,820 · 10th to 90th $501 to $10,471Professionalmedian $617 · 10th to 90th $62 to $1,445
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 $933.25 Median $3,715.35 Typical High $9,120.11 | Facility | None | $933.25 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,174.90 | Professional | None | $851.14 | $870.96 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,548.82 | Professional | None | $912.01 | $1,023.29 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,760.83 | Professional | None | $6,606.93 | $6,606.93 | $6,760.83 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $6,918.31 | Facility | None | $776.25 | $1,862.09 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,174.90 | Professional | None | $851.14 | $891.25 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $144.54 Typical High $794.33 | Professional | None | $56.23 | $144.54 | $794.33 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $251,188.64 | Facility | None | $776.25 | $1,479.11 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,548.82 | Professional | None | $912.01 | $1,023.29 | $1,548.82 |
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 $691.83 Median $954.99 Typical High $1,479.11 | Professional | None | $691.83 | $954.99 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $426.58 Median $436.52 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $169.82 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $645.65 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $154.88 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $87.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $85.11 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $436.52 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $436.52 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $169.82 | $173.78 | $208.93 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $645.65 | $660.69 | $776.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $154.88 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $154.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $87.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $85.11 | $87.10 | $102.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $724.44 |
Where Texas sits
The same service costs 5.6 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
$646
AK $3,548UT $631
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.